HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLIC54
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: X1 Permit Number: ' O
cao ABL IN D
RECEIVED
Building Permit Application SUN Q 3 2021
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address:
Pemti ing partment
Residential S eCounty
Property Tax I D #: Lot No.
Site Plan Name: Block No.
Project Name:
Name fTI WA 1T ILo rl `.Ill U VU(JUY ) Ld�
ame:
Address:
Company: W Ir
City: State: _
Address:
Zip Code:
City: 1 le-
a /Faa�x:
Phone No. �— / `� "
Zip Code:
Phone No
E-Mail a'Y&1
_
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County Licen:
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.
State: