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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO -IMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1' _ Date: 31 11 Permit Number: I r l �IF 'Building Permit Application MAR 0 7 201 Planning and Development Services PEP.."IiITTiiim Building and Code Regulation Division St. Lucia Count,,. PL 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 Address: f © � i� �/kG�4 3'N �- Legal Description: Property Tax ID#: i s s , �O © �� 9b Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: Additional work toleperformedunder this permit-check a appy: HVAC Gas Tank ❑Gas Piping _Shutters E]Windows/Doors F]Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction: $ �' Utilities:0 Sewer a Septic Building Height: Name �- � (z,/PAJ-) au JZ N7Fax: Xq J J u Address: -ems- � C City: Q�'*`�1" S �-�� State:��-- AZip Code: 3`1Q)S�- Fax: CState: Phone No. ��� � ? Z P{ E-Mail: N P-YA /C, 4 5 @ CAv\ Phone 5y2-//- -- Fill in fee simple Title Holder on next page(if different E-Ma" . D from the Owner listed above) State or Count License: IV If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.