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HomeMy WebLinkAboutSpeirs PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date %iannina and Deveio.omerL Services Buiiding and code ReGuiotio n Division 2300 Virginia Avenue, Fort Pierce 34982 Phone: (772) 462-1553 Fax: (772) 162-1578 PERMIT APPLICATION FOR: Permit Number: Building Permit Application Commercial Residential Y Address 14-1 OI� �� ( Zr� p e .rcZ�1 k _ 1, _ l ..,,A n -, U '1_ aNUr� Ind- lQ Legal Description: Property Tax ID =: Lot No_(SJ_ Site Plan (varve: S Block No. —c) Project Name: Setbacks Front Back: Right Side: Left Side: "fiall hke GLtV',2 JDO" Shutters ✓ Windows/Doors Mechanical _Gas Tank _Gas Piping _ — 'Electric _ Plumbing — Sprinklers _ Generator TGtal SQ. Ft Gf COn�trUCtiO{ �� SQ. Ft. Gi rS Fi00r: _ Cosi of Construction: S ( S Utilities: —Sewer _Septic i Name Address: u 71.6k f�'pl l dc- City_ A I f� State: Zip Code: ,�� FQgZ Fnx K 1 0 Phone No. E -Mail: Nl Fill in fee simple Title Holder on next page ( if different from the Owner listed above) if value of construction is 2500 or more, a RECORDED Notice of Commencement is required. Roof Building Height: �1�1 Ls 1 Name: l Company: lY1sY1 Address: 1105 10—cJ1aQkCity: State: Zip Code: -�,,Zgt3? Fax: 3GI- 777- Phone No. 772 s37 4f470 E -Mail ute55h4un��a�' vat - D-:' r^ Staie or County License: ii c O to C N L � N (O ofn O O N N d N O CL MO Mt # v W E O O U p co m co gmC'`LLF 00 n N O � U) It LL i ¢ r ED m CN, N 0 J O LL U g M meM � Y � O 0 o 0 MZ d Q a `m# CL Z Z Q L) 00 j a J00 W IMO 2 m 0 z goo QHS � W . N z� Q CD H U a i W J to D 2 W J m 0 X a O S O I. - LU W W J IL m O U Q� } z LL W z a< Z OO r a¢➢ Qa W J } m L a W 2 J 7 U U LL 7 Z Q fl] O O O O O O O O O O O O O In O I1J O l!') Fn o F» o ea o EA Vi Efl