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Building Permit Application
05/27/2017 SAT 10: 17 FAX 7722933274 1001/003 ALL APPLICABLE /INFQ MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: (O - ?. /7 Permit Number: / 0 ©v dffl ,is, IVED Building Permit Application JUN Planning and Development Services Building and Code Regulation Division 2300 virginio Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential xxx PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: 9317 Nature's Way Legal Description: palm Breezes Club Property Tax ID#: 2310-500-0113-000-8 Lot No.4 Site Plan Name: _ _ _ Block No. 19 Project Name:Jahn Sang Setbacks Front Back: Right Side: Left Side: @Sam A/C Change Trane 4Ton 17Seer 601 MAd ona woNo Meoeme un er t S perms � ec a apply: HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors 11 Electric 11 Plumbing Sprinklers ❑Generator Roof Roof pitch Total Sq.Ft of Construction. S .Ft.of First Fnloon Cost of Construction:$ 7700.00 Utilities:nSewer I�ISeptic Building Height: Name John Sang Name:JA"Lindstrom _ Address:9317 Nature's Way Company: Iindstrom Air Conditioning City: Fort Pierce State:T Address: 3581 W Mcnab Rd Zip Code: 34945 Fax: City; Pompano Beach State:Fl Phone No.718-930.8i82 Zip Code: 33069 _ Fax: E-Mail: Phone No.772"*80064088 Fill In fee simple Title Holder on next page(If different E-Mail: dulcem(glindstromaincom from the Owner listed above) State or County License:CAC0513971 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.