HomeMy WebLinkAboutBuilding permit app pg 1All APPLICA~ INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Cf I~ 2.,/ Permit Number: _______ _
Building Permit Application
Residential ___ / __ _
Planning and Development SeNices
Building and Code Regulation Division Commercial ____ _
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: {n2) 462-1553 Fax: (n2) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Property Tax ID#: ________________________ _ Lot No .. ___ _
Site Plan Name: ________________________ _ Block No. __ _
Project Name: ________________________________ _
ETAILED DESCRIPTION OF WORK:
lif-
1-t'h
New Electrical Meter ____ Second Electrical Meter _____ _
I CONSTRUCTION INFORMATION:
A~onal work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters _ Windows/Doors Pond
Electric _Plumbing _ Sprinklers Generator Roof Pitch ----
Total Sq. Ft of Construction:~------Sq. Ft. of First Floor: _________ _
Cost of Construction: $ __ l+S....c-=O__.c.0_-.c._o_O __ _ Utilities: _ Sewer _ Septic Building Height: ___ _
OWNER/LESSEE:
Name i l e,.((YI 0
Address:,--.£.1-"'>'-"0C!:t...~~'--'==-------~
City: fo&:P,Rfce, State: R..-
Zip Code: 2,4-'15] Fax:._......,. _____ _
Phone No. 17+-& 12,. -5:12-J.:l
E-Mail: ______________ _
Fill in fee simple rn:le Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:•_tlU[~LJ~ru!.:YJR.:._ _______ _ ~~;:e::~=::ai~-to=11~:.w~ ;Tut-
City, fD(t PiVC!... State: R.-
Zip Code: ~I Fax: 1]!.l-JJ(,r,-3137
Phone No 11lr% I• £-1141
E-Mail boyttLtte. t_, '-fM'O(). i'nQ'\
State or County License CAC 111 '41 '8 (,
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of KAVC is $7,500 or more, a RECORDED Notice of Commencement is required.