HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �2laFl r? Permit Number:
R E C E 11,-�D '"f"R 01 7917
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• r , -Y - Building Permit Application MAR 0 6 2012
Planning and Development Services PERMITTING
Building and Code Regulation Division St, Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:,;\
Address: 39x9 S
Legal Description: Qb 35 14c> ' W AI& 5 L t a/ Sl t? Ssi C6,2 ods/t?
f 44CoN1' ofy 5Ahc LT_ TO Ee R1-,k. -r4 SEL`l is ►�T `73,FT y A& sow kx T � LZyF sdQ', A C 70 Rrl
Property Tax ID#: RH aFo - /,43-Oo +- noo-Q Lot No.
Site Plan Name: Uat jqeicr Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Additional work to be performed under this permit—check all that apply:
_Mechanical Gas Tank _Gas Piping Shutters Windows/Doors
Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: 5.00 :4.-4 Sq. Ft.of First Floor:
Cost of Construction:$ RIOoo Utilities: _Sewer _Septic Building Height:
Name Name:,,
Address: ?To,) S Company: T �,�... ��t
City: State: Address: ,tr/.
Zip Code: Fax: A)A City: h4-. Pcice. State: L
Phone No. Zip Code: 3Y'iz45' Fax: 11A
E-Mail: Phone No 77,2 -571- �Yo8r6
Fill in fee simple Title Holder on next page{if different E-Mail 4rec.i r, t e-la5,",. -com
from the Owner listed above) State or County License G'GL 15 � q�
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.