HomeMy WebLinkAboutBuilding Permit Application (2) i I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1�!&– os]w
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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 ,C
PERMIT APPLICATION FOR:
PRP�SED INPR01%EMENT LC#CATKIN
Address: -Wo Z ,ix i Rr4
Legal Description: '
Property Tax ID#: 1301- (00q-
d 073. 0003 I ! Lot No.
Site Plan Name: ! h.. Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side- I.;
s ., #=� ��
DETAIL--
ED-PEDESCRIPTIQIV:C7F WORK: 9
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CQNSTRUCTIQN INFORMATCON 8
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Additional worK to be performed under t is permit–checK all tat appy:
i Mechanical Gas Tank Gas Piping Shutters 1 Windows/Doors
—Electric —Plumbing —Sprinklers —Generator j .—Roof Pitch
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Total Sq. Ft of Construction: Sq. Ft. of First Floor:
I
Cost of Construction:$ Utilities: —Sewer _Septic I. Building Height:
ER/LESS" ,
CONTRACIV, g m a
Name f±v t, 4- 6 A4--Tys 2-,,.r X Name:
Address: 71102— 5 -96AsT) /4-r( &9 Company:
City: .C_T_ 12 /.2c F,, State: t'L Address:
Zip Code: 3�6S / Fax: City: ! State:
Phone No. -7 3-7 Zip Code: I Fax:
E-Mail:�.a rry�r hoz v t='T Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
I .
If value of construction is 2500 or more,a RECORDED-Notice of Commencement is required.
i I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1�!&– os]w
' I
TIN
Taira
r F
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 ,C
PERMIT APPLICATION FOR:
PRP�SED INPR01%EMENT LC#CATKIN
Address: -Wo Z ,ix i Rr4
Legal Description: '
Property Tax ID#: 1301- (00q-
d 073. 0003 I ! Lot No.
Site Plan Name: ! h.. Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side- I.;
s ., #=� ��
DETAIL--
ED-PEDESCRIPTIQIV:C7F WORK: 9
� r ��
?o-r iJ ie E#/ Ag�, .LL- r7
i
I �
3
CQNSTRUCTIQN INFORMATCON 8
s p
Additional worK to be performed under t is permit–checK all tat appy:
i Mechanical Gas Tank Gas Piping Shutters 1 Windows/Doors
—Electric —Plumbing —Sprinklers —Generator j .—Roof Pitch
I �
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
I
Cost of Construction:$ Utilities: —Sewer _Septic I. Building Height:
ER/LESS" ,
CONTRACIV, g m a
Name f±v t, 4- 6 A4--Tys 2-,,.r X Name:
Address: 71102— 5 -96AsT) /4-r( &9 Company:
City: .C_T_ 12 /.2c F,, State: t'L Address:
Zip Code: 3�6S / Fax: City: ! State:
Phone No. -7 3-7 Zip Code: I Fax:
E-Mail:�.a rry�r hoz v t='T Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
I .
If value of construction is 2500 or more,a RECORDED-Notice of Commencement is required.