HomeMy WebLinkAboutBuilding permit app, pg 1, updatedsm
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
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Building Permit Application
Planning and Development Services
Commercial Residential
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
CBDG Funding
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVE ENT LOCATION,,:
Address:
Lot No.
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Property Tax ID #:
Block No.
Site Plan Name: I
Project Name:
DETAILED DESCRIPTION OF WORK:
r117
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
F
Additional 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: $ 1 @ Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: ,
Name:
Com p an y:
Name
Addres f ,
City: �" ��� State: �
Address: r ,
Y
Zip Code: Fax:
State:
City: f .
Phone No. 7 �— E-
Zip Code. Fax:
ail:
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Phone No
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Fill in fee simple Title Holder on next page (if different
I. �
E-Mail IM
State or County" icense
from the Owner listed above)
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.