HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE IN MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
lu) 3
Date: Permit Number:
s
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: To Select from dropbox, click arrow at the end of line
PROPOSEDIMPROVEMENTILOCATION
Address: �-9 3 d ��/���iC
Legal Description: Reu ?S
e or //,?J-- 1-133
PropertyTax ID#: �� Zo - " dpop ~6O0 �� Lot No.
Site Plan Name: // Block No.
Project Name: �/JGe Lo-¢
Setbacks Front Back: Right Side: Left Side:
DETAILEUDESCRIPTION:OF WORK
. :.. ..
R.-emol-e- 41 '_�eP//iC`e a
C�U�4e_ cr,� C_i
`CONSTRUCTION INFORMATION:
Additional work to;.:e e orme un er t is permit-check a app y:
HVAC E]Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
66
Cost of Construction:$ O ®a Utilities:Cn Sewer E]Septic Building Height:
OWN ER jLESSEE CCWTRAC-TOR-
Name UQ o Name: r..
Address: c23 0 f7e.g h 3/v Company: ���/' �✓�s . '�
City: Ui err- State: VC-l' Address: .33 �/n�
/ r'W// d4✓�
Zip Code: 3�/ ���/ Fax: City: F*- - i�/�>° Stater
Phone No. Zip Code: 3L/J`/ Fax:-
E-Mail: Phone No. t- 7a .�o
Fill in fee simple Title Holder on next page(if different E-Mail: 00` .8^ v 1tos cao .c t5 Al
from the Owner listed above) State or County Licen
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.