HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE-COMPLETED FOR APPLICATION TO BE ACCEPTED '
Dai e: N- `3d 111A Permit Number: Q%1 I a, 6-11
RECEIVED
Building Permit Application DEC 3 0 2021
Planning and Development 5ervice i �P ittin9^t
erm
Building and Code Regulation Division Commercial Residential
2360 Virginia Avenue,Fort Pierce FL 134982
Phone:(772)462-1553 Fax:(772)462-1518
PERMIT APPLICATION FOIR:
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Address:
f i (P (0,13 IPFeLeFtyT-axl9#z Let No.
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Site Plan Name: Block No.
Project Name:
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New electrical Meter ; Second Electrical Meter
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Additional work to be performed under this permit-check al{that apply:
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_Mechanical -Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
Electric Plumbing —sprinklers _Generator _Roof - Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ f j_ ,(7 utilities: —Sewer , _Septic Building Height:
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Name - Name:
Address: 2 (e (n:?, S a��h �� Company:
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City: � )f�Y� State: . Address:
lZip Code: 3 a 1 i Fax- City: State:
Phone No. Zip Code: 1 Fax:'
E-Mail: Phone No
Fill in fee simple Title Holder ion next page(if different E-Mail
,from-the Owner listed above) State or County License
If value'of construction is 2500 of more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or-rriore,a RECORDED Notice of Commencement is required.
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