HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � Permit Number:
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MAR 0 7 2017
_... ... ". _ . s Building Permit Application
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Planning and Development Services St. Lucie County, FL
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: ri(fe
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Address: SRO` t (lArV^►2 yt Ave__ ft's_. CL
Legal Description:
Property Tax ID#: - Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Additional work to be pertormed under this permit-check all that appy:
Mechanical _Gas Tank _Gas Piping _„-Shutters Windows/Doors
M Electric Plumbing Sprinklers _Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of ion;$ Z3 q 5. C?v Utilities: Sewer _Septic Building Height:
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Name 0 --t Nam -e e
Addie Is. Company: �E W
City: aa. PiPJf'<,P_ State:,(- Address: -7 Sl--� ,BL/SGG+ S�
Zip Code: ' Ll 161 Fax: City: led jrn C=r4 State: F4,
Phone No. 11332--09 Zip Code:„ __ /�`i�3 d Fax:
E-Mail: Phone No `2.-2..V- S
Fill in fee simple Title Holder on next page{if different E-Mail 0P tn' !1 e P, e►7 e w .-C I rv►
from the Owner listed above) State or County License C -7 3.5"
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
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Applicant has been advised NO structures
\,\. can be erected within any easement or
MAR 0 7 20V right of way unless oth dwapproved.
PERMITTING Applicant Initials
\� y St. Lucie County, FL
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