HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION
Date:
Building Permit
Planning and Development Services
Building and Code Regulotian Drasion
23W lin into Avenue, Fort Prem FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial
TO BE ACCEPTED
Permit Number:
Application
Residential _
PERMIT. APPLICATION FOR: To Select from dropbox,
click arrow at the end of line
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Property Tax ID N:
Lot No. I
Site Plan Name:li Imo? .�O'��s�.-YS
Block No.
Project Name:
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Windows/Doors
Gas TankIf(�''jJlG as Pi ping
_Shutters
Electric Plumbing Rsiarinklers
11 Generator Roof O Foal aitch
Total Sq. Ft of Construction:
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5gFtt.. of First('Floor:
Building Height:
Cost of construction:5 1 lob' Utilities:
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Zip Code 9446; Fax:
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Fig in fee simple Title Holder on next. page (if different
Fill
E -Mail:
from the Owner listedabove)
State or County License: a%07
R value ofeMstruction is $2Sco or more, a RECORDED Notlu of
Commencement is required.
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