HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID#:aria-•� ,/_�000
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ -70 60
Generator
Sq. Ft. of First Floor:
Residential
Lot No._
Block No.
_ Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: ,
Name I 4 'L l�v
Name: (
Addre f F� f:�
City: Stat "
Zip Code•" �' Fax:
Phone No7y- �-
Company:
7V1C-1
Address: P, I
City:44k
Zip Code:
Phone No a1,
State:
F�x:.7 %r,
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mails
State or County License
Nq70
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.