HomeMy WebLinkAboutDEWSONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:IV { 1j
Permit Number:
Im i
Planning and Development Services Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial.
ResidentialLf
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IM.P.ROVEM'ENT LOCATION:
Address: ® �'
Legal Description:�
Property Tax ID #:O<
Site Plan Name: Lot No.�
Project Name: Block No.
Setbacks Front. Back: Right Side:
g Left Side:
[DETTAILIEOMSCRIPTION 0:'F''WO
�e � G I� t''1eo�,�" rr L Gi I ( YLQ ( c) > r e
CONSTRUCT -10
N INFORMATION
rtrona wor to e e orme un Ert ra Piping ermrt—c ec a a
L0{� �/ j s p apply:
L�ll{'V LJ Gas Tank Das I'ip
{�� Plumbing g � Shutters
Electric mbing OSprinklers
Total Sq. Ft of Construction:
Cost of Construction; $Alb—T,6�w
Generator
S Ft. of First Floor: _
Utilities: Sewer 75eptic
OWNER/LESSEE; ,
Name'�fL
Add r r
City:
State:
Zip Code: Fax:
Phone No.
E -Mail:
Fill in fee simple Title 'Holder on next page ( if different
from the Owner listed above)
CTO R:
NameE. }`
Company:
iJ Windows/Doors
Roof
Building Height;
Zip Coder c� Fax:- rdil
Phone No. l 8' --5i
E -Mail: �} fi'lC'lCl�'1C1`1Cc1rnQCLt'3itS. Cca'I�
State or County License:LLI
If value of construction is $2500 or more, a RECORDED Notice of Cpmmencement is required.
5/15/2418
PftM W"
Ft P(Oc FL 3v 61 ,-
33142_36571_1.1p9(800x800)
f Pl?sCC, a �i p MMEL L-1 1/,C f= k
I�if i ,L��t►til Kti1) REMOb/l ALUMIL,�,I I
"You'll Know The Price.... Before We Start"
Martin St, Lucie Indian River Fax
772-283-7529 772-878-3974 772-231-1866 772-468-8924
http://www.pasic.org/imageSketchest,5ketch/33/33142-36571—i.jpg
111