HomeMy WebLinkAboutapril permit page 1AIIAPPTICABLE INFO MUST BE COMPTETED FOR APPLICATION TO BE ACCEPTED
a^t", llbl l(Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulotion Division
2i00 Virginia Avenue, Fort Pierce FL i4982
Phone: 17721 462-L553 Fax: (7721 462-L578 Commercial
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Residenti.l X
PERMIT APPLICATION FOR:
Address: S)o't MyrllQ- DA fo"t p;e"c", Ff i{etJ*
LegatDescription,l^dtan k;ver estqlcs vnlt " OQ' 6lK 60 lol 2b
Property Tax lD #:
Site Plan Name:
LotNo. 2b
Block No. 6 O
Project Name:
Setbacks Front_ Back: _ Right Side: Left Side:
_Mechanical Gas Tank _ Windows/Doors
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address: 5'to7 f//rl/( OrL
Citv: /or/ /;€a< State: /L. /- - |
Zip code: 3Vg? 2 rax:
Phone xo. 561- ttT. 31't4
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
eoaress: l.lS lJlrll Jur
citv: Vetlb B<qoh state: y'L
Company: IVli
Zip Code: 3)-44 rax
Name: M;chqd Rt *
Phone No 112- fOg'&3ll
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State or County License
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.