HomeMy WebLinkAboutSLC 1ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6 e" 3 JP 1- Permit Number:
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Building Permit Application
Planning and Development Services
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: '447 e -C T)( -
Legal
(-Legal Description: 3b 3 S 4n A" A E4 of Gov Loi- l i+b R le RIS
Property Tax ID #: CL 3 b � _I - 6DO l -dv v - Lot No._
Site Plan Name: Block No.
Project Name:
Setbacks Front Back
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
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CONSTRUCTION INFORMATION:
Additional work toe er orme -under this permit - c ec a appy:
HVAC1:1 Gas Tank E]Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: ;949S . FtFt.j of First Floor:
Cost of Construction: $ 4r�'- `y Utilities: 11 Sewer O Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name t.,T fof 1 94ara-el pa cL_
Address: 17 5 ,e-
Name: R, br-r +
Company: Ir G,,troi Ae-4-iCe-En
Address:
City: _ 44 Rei -cm
Zip Code: i` e 3-
Phone No. 7 7 - v -
E -Mail: �1r ,,;,err, _I C t>
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Fax: 7%1-
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State:
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City: k State: j[- j�
Zip Code: 33ieo S Fax:
Phone No. 813" 7
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CA,
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11 VdIUC ui eu115tirucci0n IS;otzuu or more, a Kr%_UKUtU Nonce OT COMmencernent is required.