HomeMy WebLinkAboutst lucie county appl 10.13.2017.1ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:.
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division f
2300 Virginia Avenue, Fort Pierce FL 34982 I f/
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 IMPROVE
Address:
Legal Description
ENT LOCATION:
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Property Tax ID #: _� q _ 5- o "V / �'J Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to b rtormed under t ispermit- check all apply:
HVAC Gas Tank E:] Gas Piping _ Shutters E:] Windows/Doors
Electric 14PIumbing Sprinklers Generator �j Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1, d Y �c>
Sq. Ft. of First Floor:
Utilities: 0 Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name U(C' -( iCAVI
Name:
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Company:
City: V(') �1 l� t. State: !
Address:
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City: �.��
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Zip Code: •> � Fax:
Phone No. {� "' y� _-L�
Zip Code:
Phone No.
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E -Mail:
E -Mail:',
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.