HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ltV�o Permit Number:
® u
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 x Residential
PERMIT APPLICATION FOR: Other 0
Address:
Legal Description: I S L�9�I L1 N 6S 0C-C—i4A%'S/ i C f /77 /Al ZJ04
UAJ 11 -
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRI'I}
4Y 1j,
e
q.
r
Additional work to be _e orme under this permit — Check a apply:_
❑HVAC Gas Tank []Gas Piping Shto
rs � Windows/Doors
❑ Electric ❑ Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2500.00 Utilities: Sewer 0 Septic Building Height:
iX6:"J-
Name Rm f L/moi ame: Kim Wilson
Address: 3111 -TNL-OP— � Company: Premier Plumbing & Air LLC
City: ("'r—ro g%1 �j StateM14' Address: 108 NE Dixie Hwy
Zip Code:013 SCI Fax: City: Stuart State: FL
Phone No. Zip Code: 34994 Fax: 772-692-1094
E -Mail: Phone No. 772-692-2500
Fill in fee simple Title Holder on next page ( if different E -Mail: preplbgac@gmail.com
from the Owner listed above) State or County License: 25222
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ltV�o Permit Number:
® u
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 x Residential
PERMIT APPLICATION FOR: Other 0
Address:
Legal Description: I S L�9�I L1 N 6S 0C-C—i4A%'S/ i C f /77 /Al ZJ04
UAJ 11 -
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRI'I}
4Y 1j,
e
q.
r
Additional work to be _e orme under this permit — Check a apply:_
❑HVAC Gas Tank []Gas Piping Shto
rs � Windows/Doors
❑ Electric ❑ Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 2500.00 Utilities: Sewer 0 Septic Building Height:
iX6:"J-
Name Rm f L/moi ame: Kim Wilson
Address: 3111 -TNL-OP— � Company: Premier Plumbing & Air LLC
City: ("'r—ro g%1 �j StateM14' Address: 108 NE Dixie Hwy
Zip Code:013 SCI Fax: City: Stuart State: FL
Phone No. Zip Code: 34994 Fax: 772-692-1094
E -Mail: Phone No. 772-692-2500
Fill in fee simple Title Holder on next page ( if different E -Mail: preplbgac@gmail.com
from the Owner listed above) State or County License: 25222
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.