HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
-I J.
•
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
PROPOSED IMPROVEMENT LOCATION:
Address: -? r-/ t ? - r_ , i~` �c. c e 0 )
Legal Description:
Property Tax ID #: %G CXR % - (�pCl Lot No.
Site Plan Name: ' c ' wtle_ C-- _3 Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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aaivonai work to oe ertormea under this permit- check all
HVAC ! Gas Tank Gas Piping
11 Electric Plumbing Sprinklers
tj
apply:
Shutters ❑ Windows/Doors
Generator Roof
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Total Sq. Ft of Construction:
Cost of Construction: $ L1 j.C)C -
S Ft. of First Floor: _
Utilities: Sewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Named
Name:
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Addre :`7L11 �`y � d�-S V_n Ileti
Company:
Address: Y? 5-
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City: cel` �.c State: F4
Zip Code3 Fax:
City: /-4 ; r:9'ere P
State: K
Phone No, � ? - 1. a L/ -
Zip Code:.3 Ll 9 Fax: Liu Cl -
E -Mail:
Phone No. C'(y-
5 - SS
Fill in fee simple Title Holder on next page ( if different
E -Mali: �cZ 1 � ' � �� N4 'A [
from the Owner listed above)
State or County License:
C Ac t S_ 13 6 S_
it value of construction is X2500 or more, a RECORDED Notice of Commencement is required.