HomeMy WebLinkAboutBuilding Permit Application (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (-( - t `1,rL
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:1,�.
Address: i,t. L'�.ir
Property Tax ID #:6 �� ( n t �` 00 Lot No.
Site Plan Name: Block No. (,, 0
Project Name:
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Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _�Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ k 3>00 , 04), Utilities: —Sewer —Septic Building Height:
Names
Address: 1;;, kLk
City: H' 4 .-€=rt Stater C
Zip Code: yLLL�E, Fax:
Phone No. —)—I
E-Mail: e�t2
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: {- i-= --. °S
Company: Zz.e.t °`v to tv4
Address: u
City: i'` ; `?.'f C-4 State: i L
Zip Code: Fax:
Phone No
E-M a i l ; - �'e k :.r to,. 2 ; l-L�
State or County License C C C. 4 H, Z_ Ct
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.