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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: 3\aa1 VI Permit Number: N'4,63 J OC'S
t RECEIVED
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iteingsamommosemmommer Building Permit Applicati • n MAR 2 2 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permithri
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
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PERMIT APPLICATION FOR: W `i.t. L��,/\
PROPOSED IMPROVEMENT LOCATION
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Address: / 7d 7e�� e,G'cS /�, �vi�f �GeY`Ge/ IVL . 7
Legal Description: il r v),. i3L.• 1 2 24J2 G '/ )- 'l 9 c. i? ,PSC ODS cri, i (0:3`1
CoA, 3418 -J6/y: 6.92 --2S"oLi)
Property Tax ID#:.2 406 - (S-'o II '-Doo S - Dori'- Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
7A,i‘ A ,r7 -L! -C:-/-1.?Gl' o So •ff uNd�er t/2.e- /-a.>,-P- 07� /1/44-y �t o ,
CONSTRUCTION INFORMATION
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator 17Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor: 11
Cost of Construction:$ go o. t.) - Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: , = CONTRACTOR
Name /eek n4I4 I-- h/ ayI Name:
Address: /7 '7 Ee-Awe vd Rd Company:
City: /-orf f',.e.r^cc State:FL- Address:
Zip Code: 3 Y9 '7 Fax: City: State:
Phone No. " 772 - Y4 S- / 1 D Z Zip Code: Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.