HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date Permit Number:
II
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 APPLICATION FOR:
Address: qiLe jw,*-,wn
Legal Description: ftmiaj Lf)4-5? r
114 2,
Property _��Z -60 1OCO
Tax I D#: Lot No.
Site Plan Name: Block No-.
Project Name: J��IC-fj anrl
Setbacks Front Back: Right Side: Left Side:
Insla(I like for UP- !4mant door
Additionarw"or to be pertormed under this permit–check all that apply:
—Mechanical' —Gas Tank Gas Piping —Shutters v"Windows/Doors
Electric —Plumbing Sprinklers —Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: —Sewer _Septic Building Height:
Name Namison Name:
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4erect rran
7Address: 519, F W(1(;h Inciton, Company: MM &e-=d dha Garai
City: :W,cAnson State:MA Address: 005 7or-7,'1,a,0Je D/
Zip Code: W&41 Fax: city: Irzti-A )4-,rbv, Ge---k State: Ff
Phone No. (:Is I Zip Code: 3Z,?37 - Fax: 3Z1-777 Way
E-Mail: ,XJIA Phone No. 772-337-4V7_0 -
Fill in fee simple Title Holder on next page if different E-Mail:
from the Owner listed.above) State or County License:
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.