HomeMy WebLinkAboutBuilding Permit Application (2)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
building and Code Regulation Division
1.300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential -
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: '5'5 0 -7 (Lo
Legal Description:
Property Tax ID M. 01 0-z- Lot No, 1-7
Site Plan Name: , 6-::A#.r.S2 Block No..- i
Project Name:
Setbacks Front_ Back: ___ Right Side- -..--- Left Side -
Z'..
,
NO G)Acr 16-S -
%iif dna rktob_kj�grtorrnea under mispermn-v
0HVAC Li Gas Tank aas Piping
OElectric Q Plumbing OSprinklers
-70' of i�� ' W0006r-J
0 S h'u't'te' r s F-1 Windows/Doors
nGenerator 0 Roof
Total Sq. Ft of Construction: So. Ft. of First floor:
Z� 0 0th Utilities*. 11 Sewer 11 Sseptic Building Height:
Cost of Construction: $
Na rne— &'c LA b
-1 (tie lvil 146
Address., 94-
City:47 i State:
7ip Code: 7 —Fax:_
Phone No. 1.
Fill in fee S I 101ple TWO Mokkgr on rdat pop( of different
from the Ow6er listed above)
Name
Company 3 -
Address:7 If
State: FL
City:
Zip Code: 3 ZI I—$ Fax:
Phone No. Z7Z -
E -Mail"
State or County Licenser
ljotice of Commencement 13 "ired.
con>itructioa is $.2500 0; more, � RECORDEDii-'�Iue of