HomeMy WebLinkAboutUntitled All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z.4• \ S • k TS- Permit Number: (KO 4. - 04 -•\if-
ossmmonsiggrumalgo,
-:,--,---..,:-.--,,,, 1-2 - 1 .„,,,,,, REcave,
cautisaIti)'
-7--- ,.• .APR .1 3 2018
missfasiasemomom Building Permit Applicattgr
St ng.De
iPattment
Planning and Development Services . ume County ,
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)4624553 Fax: (772)4624578 Commercial Residential
__________
PERMIT APPLICATION FOR: !
PROPOSED INPROVEMENT LOCATION:
Address: /AO 9 5 A 0,,e L.t.,,,,,,,,is A-ice ..1 / ,,,I 4/IcAis-op, _Trja..„'d ,F.Z
le, • A 3991441 D 1 ..r
Legal Description: /,..ora I (_„,,,,,, 4rac 4 - oec yp;i.., „aAle -jj7,t 1 11y aci . Li T1, ef)I
. 4i ' 4 F ' .0 - es 1/1 15, . . JOF Va ,..-/ ,
'I. o ' 343, -.- .216
Property Tax ID#: l' ,2.c--- 7.0/-000,5--- oe,7_40-/ Lot No.
Site Plan Name: -e ,- 4a" ii P es icileky is- Block No. ' /
Project Name: ,
Setbacks Front — Back: — Right Side: -- Left Side:
DETAILED DESCRIPTION OF WORK '
/r-lep/a, ,e IT 119 1..._,,,,, /L i.„..,s, 14.,,-1/7 11 e 1-4.. "1,--T i,/),,7 / f.,,,,, c
r l
7
5 e 'e.5 5300 a',lel 53-07-0 z,./iJa c A.,
1
CONSTRUCTION INFORMATION ,
Additional work to be performed under this permit-check all that apply:
Mechanical Gas Tank Gas Piping Shutters kWindows/Doors l;
— — — i
_Electric ____Plumbing _Sprinklers —Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor: 7 a ?
,„.... 1
Cost of Construction:$ ire,-0-e9 " ' Utilities: itSewer Septic Building Height: 3.2--___
OWNER/LESSEE: CONTRACTOR
Name6-ea r" Ae/e t i Name:
Address: /4709 $Aare ,,„,_,,- s ,frJ-'-0 ----W' ,,redairripany: ,divfo",./ #e IS e 1664, 5/.. .170c.
City: Fl. AY'P41P-e State: ,% - Address: 4?-11 0 gi,-„„,-„,,,- e,,,,,.,,,
Zip Code: .3 V 1 V I Fax: — City: Ft A r,-..e.-e State: / ---
Phone No. 3 /0— 9 007—— 01150 Zip Code: 3 ti 7 gl Fax: --------
E-Mail: -------- Phone No 77?- -,z/ ' -i3e:527
Fill in fee simple Title Holder on next page(if different E-Mailhi-ii:0 pi he Ae A
from the Owner listed above) State or County License C.- &-6, ‘If value value of construction is 2500 or more,a RECORDED Notice of Commencement is required.