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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _% Date: 'k Q `•', 1% Permit Number: 6W 1 ,-c:-: .: 6 t rte,; 5�, „ ..,.._.,._4,, .7„..„, ; r,• - I ' ,e RECEIVED FL R l b ,irk. Building Permit Application MAR 0 7 2018 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue,Fort.Pierce FL 34982 Phone: (772)462-1553. Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: PROPOSEDINPROVEMENT LOCATION =- t Address: 53 Meal �(4� t 1O0 At ,g.f .C./ L-�/C(E F(4 'l 9 2 j p LR. Legal Description: ri Property Tax ID#: .y tt-} ' . 6c I. l i© 1 ' (_}Oe. Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK C r e)icf . Jc 1 A. ,6 --1-i s-rtl S lam, J�� CY111 0 al la 1-4-0 i .--.....-e.) CONSTRUCTION INFORMATION Additional work to be performed under this permit-chelc all that apply: _Mechanical —Gas Tank _Gas Piping —Shutters _Windows/Dors Electric Plumbing —Sprinklers Generator oof 31 Pitch Total Sq. Ft of Construction: /& (9C) Sq. Ft. of First Floor: Cost of Construction: $ a4 3 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE CONTRACTOR.` Name Z/ rf /74;/hi ¢,-1, Name: G�1 '�jji.JD ick.) - Address: _ Ano/ii11-v i+ A) , Company: Com an : kin CA V r L o /City: P01d C4 LCO G/ sp State:M : 0 -6[r2 5'e eYi (JM 'A Zip Code: 5? ,Fax City: Pc c--I- c+ C.-A-14-4 e State: r Phone No. S7 al —9 3 CD Zip Code:34/ 2 Fax: 11)/4- E-Mail:E-Mail: -772 Phone-No �' ��1-7 S e Fill in fee simple Title Holder on next page( if different E-Mail r-(c,1r 1 c.. w 4 r A j, )k cc.-It ✓'Vrt from the Owner listed above) State or County License .Q.,4 ( Or 1 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.