Application For Building Permit Form

Please Enter Builder Name
Please Enter Phone Number
Please Enter Address
Please Enter Property Address
Please Enter Email Address
Please Select Date
Please Enter Permit No

Owners Name if Other Than Builder

Please Enter Name
Please Enter Phone Number
Please Enter Address
Please Enter Legal Description

Distance of Building from Property Line

Please Enter Front
Please Enter Side
Please Enter Rear
Please Enter Purpose of Building
Please Select Use
Please Enter Size
Please Enter Stories
Please Enter Roof

Floor Above Center Of Street

Please Select any one option
Please Enter No. of Bath/Rest Rooms
Please Enter No. & Size of Porches
Please Enter Utility Room
Please Enter Heating & Air Conditioning
Please Enter Plumbing
Please Enter No. of Plumbing Fixtures
Septic Please Select any one option
Please Select any one option
Please Select any one option
Electric-Service & Meter Location Secured from Ft. Pierce Utilities Please Select any one option

If required, culverts will be installed to grade and specifications by Bldg. Inspector.

If water-proofing is added to concrete in lieu of underlay for moisture protection a certificate from supplier must be produced by builder if requested.

"I agree that it is my responsibility to review the construction site & advise the City if it is necessary to relocate or protect electric power lines, or gas lines for the protection of my employees. I further understand that expenses for this relocation or protection will be paid for by me."

Please Enter Remarks

I hereby certify that the statements made herein are true and accurate to the best of my knowledge and belief. All required inspections will be requested.

List of Sub Contractors Names

Please Enter Masonry
Please Enter Masonry State Lic.
Please Enter Masonry Village Occ. Lic
Please Enter Carpentry
Please Enter Carpentry State Lic.
Please Enter Carpentry Village Occ. Lic
Please Enter Plumbing
Please Enter Plumbing State Lic.
Please Enter Plumbing Village Occ. Lic
Please Enter Electrician
Please Enter Electrician State Lic.
Please Enter Electrician Village Occ. Lic
Please Enter Roofing
Please Enter Roofing State Lic.
Please Enter Roofing Village Occ. Lic
Please Enter Heat & Air Con
Please Enter Heat & Air Con State Lic.
Please Enter Heat & Air Con Village Occ. Lic

I understand that no building may be occupied until:

A Certificate of Occupancy has been issued after Final Inspection by the Building Department and full compliance with the Building code and Zoning Ordinances.

Please put your sign
Please Enter Permit Fee
Please Select Date
Please Enter Director of Building & Code Enforcement

Note

Plans and Specifications of structure to be built or repaired must accompany this application.

Copy of septic permit must accompany, if applicable.

Submit two sets of plans with application