HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE.INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:.. ` ��.f(� Permit Number:
I
�-� RECEIVE®
Building Permit Application. MAY 3 1 1016
Planning and D evelopment Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)4, 62-1553 Fax: (772)462-1578 Commercial Residential %<
PERMIT APPLICATION FOR:
� Y
Address: 1 g o C�d� LrJ
Legal.Description: 1 " P,-'VE:-S A-L_�-T 5
Property Tax ID#: 2--3,o 5-- 5c-10 2_ Lot No.
Site Plan Name: Block No.
Project Name: ir>P_v F=
Setbacks Front Back: Right Side: Left Side:
2�P(,!�L s l F c•g-.—. i c� f� Qa ki_ gam c ti7c
6 i2
I
Additional work to oe pertormed under this permit-check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator X,Roof
Total Sq. Ft of Constructio DOQ e6 Sq. Ft.of First Floor:
Cost of:Co truction $ 1� �•Oa B Utilities: —Sewer _Septic Building Height:
Name Name:
Address: f 9i c> til Company:
City: P%c-r-- .cd�- State: V-L- Address:
Zip Code: 3.- y S Fax: ` 1 City: State: IFL-
Phone No: ���• •/�� �O ALV Zip Code: `5 3LV�s-7 Fax:
&Mail: Phone Np _ C /
Fill in:fee simple Title_Holder on next page(if different E-Mail 1) y Z—C
from the Owner listed above) State or County License efezn 2
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required. q 7
n