HomeMy WebLinkAboutBuilding permit app, updatedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
Q Building Permit Application
Planning and Development Services Residential
Building and Code Regulation Division
Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: Lot No.
Property Tax ID #: l ,
Block No.
Site Plan Name: S
Project Name:
DETAILED DESCRIPTION OF WORK:
e
New Electrical Meter __ _____ Second Electrical Meter
(Affidavit required)
CONSTRUCTION INFORMATION:
Additio ork to be performed under this permit -check all that apply Windows/Doors Pond
_Mechanical _
Gas Tank —Gas Piping _ Shutters — —
Generator Roof __-_____— Pitch
_Electric _Plumbing _Sprinklers ._ —
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ �� Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
Name
Address:
City:' Pi P. u state-_4
Zip Code: Fax:
E-
Phone No. '772 SyS--I l7
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name:
Company: "
Address �-�� -2'``�
City: '" � "o "�' o� _State:
Zip Code:-5 !2 7y Fax:
Phone No
E-Mail r`�� ,a./S�'/»/.n4 �' In i,.«c; I •CDC
State or County License : - -
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.—