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HomeMy WebLinkAboutBuilding Permit Application All APPLICAB INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: � Permit Number: �-o Building Permit Application Planning and Development Services MAR-,- 12018 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: ,,PRO' OSED lNRRO1tEN E V`t LOCATION Address: 1 7 1� BLVJ ell l Lc M l Legal Description: Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name:. Setbacks Front Back: Right Side: Left Side: RAti DSCR ' (OI�ttQl -44 CC� 5TRl1CT1C3N NFORMAT(ON » ,v .,. » Additional work to be per,orme un er this permit-check all that appy: 04Aechanical" _Gas Tank _Gas Piping _Shutters Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: `� Sq. Ft. of First Floor: Cost of Construction:$ �©V Utilities: —Sewer _Septic Building Height: OWNzERjLESSF: CONTRA tea. r Name Name: LLD Address: tL� Lv�• Company: gj c. City: State: Address: Psiv Zip Code: 3qg 7 Fax: City: P—f Stater Phone No. /5 e - y 2 Zip Code: z Fax: E-Mail: Phone LAC,/- Fill in fee simple Title Holder on next page( if different E-MailCu 1 d 0 from the Owner listed above) State or County License c It 037 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.