HomeMy WebLinkAboutOntario (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION T0 BE ACCEPTED
Date:
........-1
Planning and Development Services
Building and Code Regulation Division
Permit Number:
Building Permit Application
Commercial t/ Residential
2300 Virg.Inia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553Fax:(772)462-1578 CBDG Funding
PERMIT APPLICATION FOR:
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Address:
Property
:'rt:I:ianN:::.e pzzc^cu ______ ___ __ Block NoProject Name:
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New Electrical Meter Second Electrical Meter (Affidavit required)
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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
Total Sq. Ft of Construction:
Cost of Construction: S
yTnal Sq. Ft. of First Floor:
Utilities: Sewer _ Septic Building Height:
state: FL
Company:
Address: I
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Zip Code:
Phone No
E-Mail
State or County License
lf 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. .