HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 16 ( Zj( Z 1 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 Commercial Residential L11
Address: t —.I't ?_ \,/n( V-.
Property Tax ID #: aci Z1 (oo I 6od-o -- CS()® 'Q Lot No. I Z
Site Plan Name: Block No. 'Q
Project Name:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
Electric ✓Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ i 510,QQ
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
Name t r p— r1
Address: —
City: �J .� :�: p,ri,t State: l-C'
Zip Code: ':5 q `lad Z Fax:
Phone No. n
E-Mail: r- p al L)\
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: (mot" i `
Company: °ia rt-4oig
Address: u t 5-
City: r ;.rf £ State: -VC.-
Zip Code: 3 K91t a Fax: k) ,A
Phone No `i1 L' (m ZI 'c7��
E-Mail +-C-C� ; \ . t c�
State or County License C CC_ l'� 7_ q 3 i 1W
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.