HomeMy WebLinkAboutScan_20220322All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ZZA Z Z- Permit Number:
i
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:
Address: TA"A0 S - t ( e1-_0 %-' tr : -�'?-,tO
Property Tax ID #: 1> .3 L? t f;)oc, i - 6)(y - Lot No.
Site Plan Name: Block No.
Project Name:
\ `� ' :� c) r cam. L t (.— ..9 l p C -Fa ' L
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank Gas Piping — Shutters
— Electric te'Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 1 �400, U0
Sq. Ft. of First Floor: _
Utilities: —Sewer _Septic
Name S ? . C ,a ` SScL ri
Address: '3 S U 3 CirL 5c�t� e r-
City: State: 1`(
Zip Co(e: ' , .S �t�t� Fax: =kii N —
Phone No. S10, I - —0"%-)-
E-Mail: r'e_vt pla - 0 1,-,N t' 1, (0,"
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Windows/Doors
_ Roof Pitch
Building Height:
Name: bcLr.� i-tir-,'.5
Company: V2-e-1 q`o
Address:
City: State: '( ,
Zip Code: 3 Fax: A,, ,A
Phone No `l 2 ' (a
E-Mail U%4�4-(-r� ;
State or County License C r C. 0A Z_ q 3 i
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.