HomeMy WebLinkAboutBuilding Permit Application02/15/2018 22:44 7724663737 BOYLE PAGE 01
ALL APPLWAM INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEP'T'ED "�
Date: Building Permit Application V� ' 133
Permit Number:
Planning and Development Services _
Building and Code Regulation Division
7300 VlrgInia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 f=ax! (772) 462-1576 Commercial — Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: n
legal Descri0on:1
Property Tax ID #:1 31 '701 007 4 • Qt7� lot No.
Site Pian Name:
Block No.
Project Name:
Setbacks Front_ Back:
Right Side: !eft Side:
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der t i Is perms -- check all apply;
HVAC
GasTank
[]Gas Piping
Shutters
Windows/Doors
OElectrlc
Plumbing
OSprinklers 11 Generator
Roof
Total Sq. Ft of Construction
Sq. Ft. of First Floor:
Cost of Construction: $
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Ueptic
utilities:
Sewer Building Height: _
OW.fq
14'
rvame I 1 Name: Y
Addre _ company: (' (� ( (jaf��
City: ( State: Addres : Jam' o Y
Zip Code: _�� J Fax: City:
— State: F?_
Phone No. 1-�'. .��? Zip Code: Fax: 17+�( (p�-'?73-7
E-mail: Phone No. - 1,4
FIN In fee simple Title HkAder on next pie ( If different E -Mail:
from the Owner listed above) State or Co my I icense.,�_1 Q (Q t g
If —iu* of construction Is $ SIXI or mwe, a RECORDED Notice of Cawan*neament is mpArod.
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