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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: i k' T • 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: '- ( F"'. �'N e r- Legal Description: Property Tax !D #: r �% C.} Lot No. r Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: % i {� a� - ✓. T- C C vt C-1 V c Iditionai work to be nerrormed HVAC © Electric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ UGas Piping IJ Shutters ❑Sprinklers Generator SFt. of First Floor: _ Utilities:lnSewer OSeptic Windows/Doors Roof Building Height: OWNERAESSEE: CONTRACTOR: Name t l T 4f Cl G Name: .Cc, -• Address:` J' 21; •-� �' ' City: �.cz_ State:,+- Address: � - %— •-( Zip Code: _3-( i i- / Fax: City: e Ge State:_2_17­4 Phone No. 77a -_`�{�- 3 '" .5? R Zip Code: 3�T Fax: �I G L /' / 7 E -Mail: i Phone No. Fill in fee simple Title Holder on next page if different E -Mail: State or County License: -<2 i s�-f 3 (' 01 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.