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building permit
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - 1 Permit Number: Budding 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 790 5 E. Hlal�h R IV E R. PT ST. UIC-1E , FL 34953 Legal Description: H I'DD 4S RIYER E.STA CS LY\. 3 z, LOT 30 Property Tax ID#: 34?_7,°7Q 1`O Qta 5-Q 0 0-5 Lot No. 0 Site Plan Name: M I L-ER- Block No. 3 _ Project Name: Setbacks Front Back: Right Side: Left Side: [_DETAILED DESCRIPTION OF WORK: REMDVE 4 REPUM-E E_YJ,71N' - A/C ELOPMENT FOR SAME. NQ Duu WORK. RN iT� 2aSTpA m `T©N Ito 5E,E,R. W rri4 $ KW R ulxD� R 41 o A A l R I-110.t�D LER IAN 1T, , eLC�R IC �E1�-T � RIMD , R4db N {�AAi�D+�SOK��N 1�- . �; -1 oN , 1 l6 SEP-4Z. CONSTRUCTION INFORMATION: Additional work to flasTank orme under this permit—c ec a apply. "HVAC ❑Gas Piping OGenerator Shut#ers Windows/Doors ElectricPlumbing Sprinklers Roof Roof pitch Total Sq. Ft of Construction: 4, . S . Ft.of First Floor: Cost of Construction:$ 51 L-75. _ Utilities:cnSewer 1:1Septic Building Height.- OWNER/LESSEE: CONTRACTOR: Name fl M I Name: TH 0 MM V.AYES Q� C70 Address: r7 (? i✓ 1MDEN RIVEF\ Company:_ MR, C-ODL_AIL T City:_PT. ST, WCIE, State: FL_ Address: 4-3 51 SC. D lX I E Bogs S`r. Zip Code:_34.9 8_3 Fax: City: 511KRR- _State: FL Phone No.7 2-,90`]`729$ Zip Code: 34 of`7 � Fax: '77e-2$tc- E-Mail:.__MILL59©Q@ bELL,Sb�,IT!). NCT Phone No. 1772 -2S p- ZI(04 Fill in fee simple Title Holder on next page(if different E-Mail: PD4L-A Gf iR@? CQMA5T.N.E*T from the Owner listed above) unty License: State r Co CRC�I I'-]Sl'o_ ,,,•• If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.