HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST -BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:29_;- Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address:
Building Permit Application
Commercial Residen
tial
I �.
Legal Description: _�, '34�- c/e1 CC,,,,-- ., _C:_4- /'p y23j,C• ..
Property Tax ID #: `���%�� �(J -7 Lot No.
Site Plan Name: Block No. -K--�
Project Name:
Setbacks Front Back: Right Side: Left Side:
CONSTRUCTION.INPol ATOM
Additional work to e Pe oFmed under tis permit- c eck all that apply:
_Mechanical — Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
__._ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $T
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Name
Address: !�),
City: `, ,--� j�•rc o, State: jC.
Zip Code: s 3'j✓j f,9Fax:
Phone No. 7%J I, -
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Compan . 1-\/ran ���UrY1 �is �1
Address: 4a
City: _ ej_ f State: /
Zip Code: EY�EZ Fax:
Phone No
E-Mail r�.,�
State or County License
It baMc v+ I.vnbLruccwn is cwv or more, a KtwKueu Notice of Commencement is required.