HomeMy WebLinkAboutST LUCIE COUNTY PERMIT APPLALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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: 6/,27 1`,�\c4okl LUo.H
Legal Description: ' oe4v_" o Shope g
i�
Property Tax ID #:� ` 501 009 - -5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:
Right Side: Left Side:
0ep10'cQ'Vnev4 CF 5'0�f e(ec�� h.r�cc�R
CONSTRUCTION INFORMATION:
Additionalworkto e e orme under this permit- check a that appy:
0HVAC Gas Tank []Gas Piping F]Shutters ❑ Windows/Doors
Electric _ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:_ Sq. Ft. of First Floor:
(
Cost of Construction: $ (� 50 Utilities F]Sewer 11 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name: qn
Address: 1&q)5
City- '�Qti 1•�C�C1 State: t_F'L
Zip Code: 3305-5 Fax:
Phone No. �I C� ` ® �i - ®3
Company: �,1p- 1 C
Address: Col I tJU) QKOP
City: / State: �L
Zip Code: 3W006 Fax:
Phone No. %72 i- 00/0Fill
E -Mail:
in fee simple Title Holder on next page (if different
E -Mail: eoe\ cAC O O ' j
from the Owner listed above)
State or County License: C r' q Q
IT value of construction is �iZWU or more, a RECORDED Notice of Commencement is required.