HomeMy WebLinkAboutBuilding permit app page 1ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / c( Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION.
Address: _ 4- �>_ U !
Legal Description:
Property Tax ID #: ! _ 70 01 % 7 - 160 Lot No.
Site Plan Name: Block:No.
Project Name:
Setbacks `front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.
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CONSTRUCTION INFORMATION:
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UHVAC L J Gas Tank "Gas Piping
0 Electric F� Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 7 �7 7 ° Oc
Shutters Windows/Doors
Generator Roof Roof pitch
S . Ft. of FirstjFloor: _
Utilities: Sewer L_lo1 Septic
Building Height:
OWNER/LESSEE:.
CONTRACTOR.
Name -50(ox,L--
Name: F-Cic l.-4%.'t0UFne&V
Address: C- 4-
Company: W+ r% It v+,- i n
City: r; per a State: ,
Address: 35 b 4 'r 1 n -an ec-I& k V e,
Zip Code _ Fax:
City: T-6 r + F : err-P. Stater
Phone No. 7 I-E 70
Zip Code: S` q4-;r Fax: �� �}�?
E-Mail: S q q q if- n-Aa'1 S (6) a . /r n �_
Phone No. *772" 'f � 6- OS 0 o
E-Mail: A i Ce flv+z- ) .,xc C C� ( . co(Yl
Fill in fee simple Title Holder on next page ( if different
State or County License: tz- C17
from the Owner listed above)
if value of construction is $25W or more, a RECORDED Notice of Commencement is required.