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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE-INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: C� f l ' Permit Number: 0 3 OS REcft'aD Building Permit Application APR-112019 Planning and Development Services Per"tin Building and Code Regulation Division St. Lu�Ie�untv epartment 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: I?ROP®SE1 R_OUfM:E�NT LOCATLON: J ' Address: D S,p� G as,0�.�a(to, , tvB �oc-� S'�, l.�u 3ItT 9 3 Legal Description: 19�! 0 1 �b 3 I Z ¢ 13, 6 to e-k 3 L(', 9 sue, P&,/-K UA c t Property Tax ID#: 3 -1 • C5-3D - OD O rk. Lot No. is ti+ 15 Site Plan Name: Block No. -3 Project Name: Setbacks Front Back: Right Side: Left Side: D€� AILED DE:.SCR�'PTION OF WOR+K: ©�a �3w�(el�.,� a A/'fy�.cy �,•►� a-�ohz l�lL s«1�s � 6wG(� o� ry1y ,Oro ,O�'� t'�•,e 103 ftei -G'1a bae'i( fmwh /,:,e, Q�J fccf c 610 50y,t4 Sime, of -R, f( /'ox. Oj f1 el 4,l h"i-fli ,oe o cg +�� S� tZ , I WHIPte ;_ h �� cvc l(a„ ► e`e,% c - r s�t Pay of o� qhs ��� G W 1t h 4. o eAo-l_ o.y rJo,y' h 4C, {•a„-A%ti gad ar�l(S d-SM,aI�, qct o C[►,an 'V :-e4 S;d2 z'-:vACICIG4t"c� CO STR+UCTI®N fNf®R+MATI®N: tional work to be pertormed un er t is permit-check all that appy: —Mechanical —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:$ ` �00 Utilities: —Sewer —Septic Building Height: OWNERS E: CONTRAC�T'OR: Name ToName: Address: Lf o S 5 -s a,rol(e Aye4L.G Company: City: ar fi S1-, L et e State:lac Address: Zip Code: 3 1 4 8 3 Fax: City: State: Phone No. 7�Z-uS�5'YYS Zip Code: Fax: E-Mail: 33&&o L, Gory 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.