HomeMy WebLinkAboutBuilding Permit Application page 1ALL APPLICAKE INFO MUST BE COR PFfTED FOR APPLICATION TO BE ACCEPTED
Date: t I t Permit Number.•
r•a
Wh ing 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: Other
Address: 750 15 U_ P 11 NL .Nn �I' to 3 c"J
Legal Description:nLiu l Ld l on DYl n m u n t 35 k l�
Ada,�
Property Tax ID M (oD f - 0OZ9 - - Co Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Bads Right Side: Left Side:
Lf" ty! U K -Q Ric, Ch".e_ pu t-
rmed under this, WIpDxeff— ec <
HVAC Gas Tank ❑Gas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction: 9 X17
Cost of Construction: $ ��500
City: 6 i7o rni e l l7 V State:
Zip Code: Q�04 Fax.
Phone No.
E -Mail:
3 T66 �v v_rce (VAf
Shutters Q Windows/Doors
Generator D Roof
Ft. of First Floor: _
Utilities Sewer E] Septic
Fill in fee simple Title Folder on next page (if different
from the Owner listed above)
Building Height:
Name: ki i 1.1 _v2 11 b0Y1
Company: f
Address. I e
City: , j Sta e:�
Zip Code: :3
_� =t Fax • J 0q q
Phone No.
E-Mail.a e- /YICL,C . CQV✓�
State or County Lice e: r�
If value of construction Is $25W or more, a RECORDED Notice of Commencement IS required.