John Trecastelli,CBO
Facilities
& Safety Services
4700 Research Way
Lakeland, Florida 33805-8531
F&SS Main (863) 874-8691
Office (863) 874-8722
safetyservices@floridapoly.edu
BUILDING PERMIT APPLICATION
Applicant:
Name:
Date:
Mailing Address:
Phone Number:
Fax Number:
Fla. Dept. of Business & Professional Regulation License No.
Qualifying Agent’s Name:
Qualifying Agent’s Signature:
Project:
Business Education Industrial Mercantile Residential Storage
Construction Type (SBC):
Building Height:
Class of Work:
(New)
(Repair)
(Alteration)
(Addition)
(Demolition)
Project Name:
Project Location/Address:
Building Use:
Assembly
Occupancy Classification:
Building Area (sqft):
$ Value of Work:
Description of Work:
Univ. Project Manager:
Univ. Department:
Architect/Engineer:
Name:
Mailing Address:
Phone Number:
Fax Number:
Equal Opportunity/Affirmative Action Institution
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