HomeMy WebLinkAboutBLDG PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit App tiation
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial _ X Residential
PERMITTYPE: GAS -
Address:
Property Tax ID#:
3s3s
- 32z - 000
000
S
Lot No.
Site Plan Name: TS14nd
Dyvle�y
Block No,
Project Name:
Sea- and &AEJar & -zsb- 9^-110 1 4-4..t on b10l,k5 near 44V
Additional work to be performed under this permit -check all that apply:
_Mechanical XGasTank_Gas Piping _Shutters —Windows/Doors
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construc tiro:
Cost of Construction: $ zAg3 • i O
City: �
Zip Code:
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
I"a
Phone No. IV-' -L?- - SS CI
E-Mail: SSlanddumSr�tecn¢.t¢A-
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
Oleander Avenue
,. Fort Pierce State: FL
Code: 34982 Fax: 772-465-8448
772-633-0740
or County License02707128579
If value of construction is $500 or more, a RECORDED Notice of Commencement is rec
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City: State:
FEE SIMPLE TITLEHOLDER _Not Applicable
Name:
Address.
City:
zlp: Phone:
_ Not Applicable
Tess State:
Phone: -
�WNERJ c6inACTORAFFIDVii: Application is Isemby modato obtaln a permitto dothe workand installation as IndkatecL
Icartiff thatno work orlaetallsoon has commenced priorto the issuance of a permit.
Inaccordamewihftaappprovedpof lans,his theEoiidted a�dingoodasandRt.LucleCountyAmenh Sit dpmen Perform the work
The following building permit applications are exempt from undergoing a fug conmrremy review: room additions,
not"fory structures, swimming pools, ferieas, wags, signs, screen rooms and accessory uses to another non-residential use
WARNING TO. OWNEW your fAure to Record a Notice of Com-rtonca ralM your paying twiee fl
I mprov its roarty. ANotike of Commence t m taco r nd posted on the jobs
beta the fnspe a ppf yet Intend to obtain tlnon cl onsu t th lender attomey before
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Type of Identification
ype of ldentif=tlon
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Exp. 3/3/2026
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COMPLETED
Rev. 5/2/1/