HomeMy WebLinkAboutBuilding permit , please updateAll APPLICABLE INF. MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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�..� � � � _�^.�Permit Number:
Date ,, r :
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Co m erda� R s� d e n t� a
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 BDG Fund� n g
PERMIT APPLICATION FOR:
IMPROVEMENT LOCATION.
Address:
Lot No
Property Tlax ID #:
Site Plan Name: B cl N o.
Project Narne:
New Electrical Meter Second Ue(�t'-rical Meter (Affidavit required)
CONSTIRUCTION INFORMATION.
Add7echan,cal
I work �1,o be perforrnhed under this permit -- check 0 that appy:
Gas Tank, Gas Piping Shutters V4 i ri, d ca w s/ D o o r s Pond
�, mlec r i c Plumbing — SpftMers Generator - __ Roof Pitch
Total Sq. Ft of Construction:
�_ i 7
Cost of Construction: $
Name �i�1�i(" �. � ;�'�
Sq. Ft. of First Hoor:
Utilities: Sewer Septic Buflding Height:
Address.-
ll �,
City.el, Al k�
. lState: Zip Code: 349'AAOJ_ Fax:
Phone No. 4-- 11) E-
lip'`C","` 'rat' Of tYk,4t_ Ct��Yv�
Mail: C
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
*1
Name:
Company:
! � � _._ _____
Address: go
City State:
Zip Codeo. 3 0� Fax -
Phone Nollt�s)
E-Maiii .1,11 r 'p-0
State or County Licensi:,, --(A
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.