HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Budding 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 I
PROPOSED IMPROVEMENT LOCATION:
Address•`�irt�5.r4-�A
Legal Description:
Property Tax ID #: 3,35� Lot No.
Site Plan Name:.Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Aaclitional work to be nartormedun er t is permit — check all appy:
1HVAC Gas Tank 0Gas Piping _ Shutters ❑ Windows/Doors
Electric Plumbing []Sprinklers E] Generator � Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 3 t U u
Sci. Ft. of First Floor: _
Utilities Sewer O Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name_L
Name: Li
Address: l
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Company. c�
City:yc,d,� �&,�A - State:
Address:
Zip Code: 3 Fax:
City: Y 4 C c.--- State;)::: -
Phone No.
Zip Code: `l/�. Fax:
E -Mail:
Phone No.
Fill in fee simple Title Halder on next page ( If different
E -Mail: "k, r? ; (— Ccs vJ Pr
from the owner listed above)
State or County License: t?
It value of construction is $25W or more, a RECORDED Notice of Commencement is required.