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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BF COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5 'l Permit Number: � °15_ rRECEIVED Building Permit Applicatio2 6 2018 Plonning and Development Services Building and Code Regulation Division2300 Virginia Avanue, Fort Pierce FL 34982ant P rmiin Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line C);PUsl# 1 Address: Legal Description: t ' V'0 L Property Tax ID##: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: / r r yl ,?l ...... r 4• c)- �hr ry��i�l l._ 1 z fit+u{�P4�y,�i i.' i'fll l r." r i,.rl LJ _ y li, i .f`.v.:t +.x 1 f __ N., m, x L5 ,7-,r- tc :•1 �Wkldr+�+- �,r ��;Nh�r'4 I 'r 1 �i1i� ' ` l l z�hl ik'LC Y IrY 1 �' .Ny 'r r{ 111.. J ,r( �, �'"L' 1 ,I� y 1...♦f _ y' :...._ �� c I Iona wor o 1 e e orme un er t is permit—cneCK all appy: ' OHVAC1 Gas Tank ❑Gas Piping Shutters Windows/Doors nn lJ Electric IL`J Plumbing Sprinklers ElGenerator El Root Koof pitch 1 Total Sq, rt of Construction. ,T 5Ft.of First Floor: ao Cost of Construction:$ C>C) Utilities: _Sewer Septic Building Height: _ ��� r., {Ifllrll f .._ •r,t 1„llit�lrl P t_1 �Ids nN[ �41 ��RI f qtr". 'i't +!p! I;r3� �7Gi ;Lr.. .:ti!r 'F� r � n„f I'I r Nam n Name; _ _ tp Address: c C > Company:L]l n. Q S1 +1 City:Vbr 1 e,4-C 2 State: Address: Kd Zip Code: ^^� j�,{�Fax: __._...,_ City:_ ------... State: cal^ L� � Zi Cade Y Phone No. p .,�Q E-Mail: Phone No. Fill in fee simple Title Holder on next page(if different E-Mail: L' l 1.Vv1.�51 _ 11 from the Owner listed above) State or County Li ense: 'LELSKS,_ .,_. If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 400# T89'O11 666TT9VELL Bulgwnid ;slnnpuij 9Z:LO STOZ/SZ/90