HomeMy WebLinkAboutST LUCIE COUNTY 12.13.2017ALL APPLICABLE INFO MUST T E COMPLETED FOR APPLICATION To BE ACCEPTED
Late:
Permit Number:
4' J
Maw.; Building Permit Application
Planning and Development Services
Building and Cache Regulation Division
2300 Virginia Avenue, Fart Fierce FL 34982
Phone. (772) 46-1553 Fac: (772) 462-1578
Commercial
Residential '�
PERMIT APPLICATION! FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT EMENT LOCATION.
- � ")"
Address. al, P U
Legal 'Description:
Property Tai !D :
Site Plan Name:.
Project Name:
Setbacks Fent Back:
DETAILED DLSCI I PTI f F FORK:
CONSTRUCTION
INFORMATION:
zgErionai wo
HVAC
❑Electric
0 oe errormea
LJ Gas Tank
Plumbing
Total Std. Ft of Con tru tow
Cost of Construction: $ &
Right Side:
tinder this permit —the
❑Gas Piping
Sprinklers
C-
Left Side:
„ a r
U Shutters
Generator
Lot N o .
Block No.�..
Windows/Doors
Roof
S. Ft. of First Floor:
Utilities: USewerSeptic Building Height:
Roof pitch
OWNER/LESSEE:
CONTRACTOR:
Name S Lk )(\ Ck `Lk.),YJCl_ .&e'
Name: Woc--,�
Address_ C220,
Company:
1�;
[�` � ' , Sae
Cit . ..3': �' �r.+tt1r• 4
Ml,f�
� — .1 'f
AWSSr 6 )_} .,,. !+
jj--fi�ee �y—�+ '� /�l cl
Zip Code:. `� ' Fax:
Crtl : � � � �' � State,
r.a..i..r.-wyrrtr
9'
Phone No. �
iir�`+�, Code. Fay_
F
-Mail.
_
Phone No.°-
Nil Irk fee simple Title Holder on net e' if different
-B ail.
from the Owner listed above)
State orCountyLien e.
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.