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building permit
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: sMANOR 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 I✓/ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: �,v� Legal Description: Property Tax ID#: `'t . �6' [� © —5 Lot No.__131. Site Plan Name: Block No.— Project Name: LIE Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: on cre- U)�_rv-,k IFIN I C lC - CONSTRUCTION INFORMATION: Add itigna I work to be perforin-ed performed under this permit--cKeck a apply: I'1 HVAC Gas Tank OGas Piping _Shutters Q Windows/Doors LJ Electric 0 Plumbing Sprinklers [Generator E] Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor; Cost of Construction: $ Utilities: Sewer Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name Name: v1'1,br Y�fLd F A OVA Address: Company: v City: UN J X State:_JD�_ Address: Q Zip Code: Fax: City:Qe—LIrytJ C)a .State:� Phone No. �]7` - Zip Code C=( Fax: L E-Mail: Phone No. Fill in fee simple Title Holder on next page I if different E-Mail: ew.x" from the Owner listed above) State or County License: 3� If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.