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HomeMy WebLinkAboutROOF - FIBERGLASS SHINGLE (2) All 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: PROPOSED t[�:PI OVEMENT LOCATION Address: r Ali f-, Legal Description: Property Tax ID#: ©_ V 0 a 0 j Lot No. I Site Plan Name: �Y�R�CL ikk( - -i' i Block No. Project Name: 20 'Y - _ 00,1' r Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION QF WORK-.,' G �O cONSTRUCTIONJINIFORMATION ' Additional work to be pertormed under this permit-check all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors _Electric _Plumbing _Sprinklers _Generator LI/Roof Pitch Total Sq. Ft of Construction: 0-21 Sq. Ft. of First Floor: Cost of Construction:$ Utilities: —Sewer —Septic -Building Height: OW:NERILESSEE . CONTRACTOR :, ti Name k A I ei f r ( 1 t .Nam�:�° � Address: L4 6,LI NV el � � Ct�rnpany =2 City:' , State: Zip Code: 1 4 _Fax: City: State:__ Phone No. n a 5 - �z b q Zip Code: Fax: M a�o�a��111 Phone No Fill in fee simple Title Holder on next page(if different E-Mail. from the Owner listed above) State or County License hof construction is 2500 or more,a RECORDED Notice of Commencement is required.