HomeMy WebLinkAboutBuilding Permit Application page 1ALL APPI.I i hWgr BE CONIPLETED FOR APPLICATION To BE ACCEP I
Date: �� Permit Number.
BtiMng Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 452-1553 Fax: (772) 462-1578 Commercial
PERMIT APP"TION FOR:
Address: I'�
Legal Description:
Eva
Residential
LL4?>co
PropertyTax lD #: �rJ 3� ._ . Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Additional work orm un rt is perm — a app :
HVAC Gas Tank Das Piping _ Shutters Windows/Doors
aElectric FiPlumbing O Sprinklers Generator FIRoof
Total Sq. Ft of Construction: & 3 D
Cost of Construction: $ d5op
Ft. of First Floor: _
Utilities Sewer 0 Septic
Name: —4
��Iv Company:
State: El-, I Address:
Zip Code: Fax: CRY"-=7�f'
Phone No. Zip Code"
E -Mail: Phone No.
Fill in fee simple Title Holder on next page ( if different E -Mail:
from the Owner fisted above) . State or County
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Building Height:
�1
tatert ,�/�
Fax: T 7,3 ' �01� I U i L