HomeMy WebLinkAboutBuilding Permit Application ,„ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: • ) Permit Number:
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Building Permit Application APR 17 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial eSiRniiMCie County, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 33-00L en's( 0
Legal Description: 7:)U(- IGZz )cl
Property Tax ID M. 3405 -60 l-Oa L( 3 -000 ` 9 Lot Nol q
Site Plan Name: Block No. a
Project Name: 'S b«cam. -TUrc1Z
Setbacks Front Back: Right Side: Left Side:
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itiona wor to e e orme un er t is permit-cieck all appy:
❑HVAC Gas Tank Gas Pi in InShutters Windows� Doors/
❑Electric Plumbing Sprinklers ❑Generator Roof
Total Sq. Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ a 3 ( (p Utilities:Cn Sewer 1:1 Septic Building Height:
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Name✓bCC;nC cJr��•.r Name:':3Ci_knt�����l ��f'�� - ��;���. to
Address:�30o1Dv j'k�2 a Company:_FJ-G' �C�t CJE?r�;-}�'�e x+11 ('
City:Fk , P,e.c G 2, State:f Address: %S a ip ( "1�T+1
Zip Code:3 4'q U 7 Fax: City: 1,0, kvti�E'c--,Q J-_ State:_F
Phone No.-2 ) a 3 70 Zip Code:J'-SL') I Q�-- Fax:-,5-L", ., -5S•C/o-5-9
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Fill in fee simple Title Holde on next page(if different E-Mail: �;
from the Owner listed above) State or County License: ��.�� l�- 0 a S 31.
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.