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HomeMy WebLinkAboutBuilding Permit Application Jul 24 18, 12:49p Advantage Air 7724654945 p,2 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /1/�"�J f 0 f � Dater Perm er� ! `� t tl/ Building Permit Appl.lclition skoZinr Planning and DemlopmentServices Building and Code Regulation Division , L 2340 Virginia Avenue,Fort Pierce FL 34982 �� a Phone:(272)462-1553 Fax:(772)462-1578 Commercial PERMIT APPUCATION FOR: To Select from dropbox, dick arrow at the end of line PRQPPQ$EQ 11414 OVEIkIJ�NT LG1Cr T1t311i :..- : ,r� Address: 'S N) q !-�IQ,C�e LO-Le- Legal O- e-Legal Description: �l el c)- -3 cx- -35ta- Properly Tax Ip#: /,?i/a 2LDb _p©9CP• GYM 1 Lot No. 9 Site Plan Name: j Block No. n Project Name: t .air::, U Pre-fl-7— Setbacks Setbacks Front BacL- Right Side: Left Side: DE7'tIE?C?ESCIlPTl43N C71~1AlOK acn5 e- ow r✓t'c r? or 'L-e,Chc rnP(-0n i 1 q S E 1:2, i C��y�I ,�E✓ysC>�'Zrr7x�/ :co�s-rRlJcrlolN: aa - o . itiona wor to e e Orme un ert is permit-- e a apply" IJHVAC Gas Tank E]Gas Piping _shutters I Windows/Doors 0 Electric Q Plumbing Sprinklers !It Generator ID Roof Roof pita,. i - Total Sq.Ft of Construction: S� . of Fist Floor. Cast of Construction' $ ���� � LEtilities, Sewer 0 Septic Building Height: _... ....: .•CONTRACTOR :.., . Name J.e/" Name: U,t✓ -�- � u�.{�yn .Address: r'S- 1� A�G� �kG& �j r' Company: City: e-� i.e rC•e. state_ Address: &O l J<' IYIGCL Zip Code: i:')Lf C51 Fax: City: r ,l%Pr State: Phone No. (° ( I,3 Zip Code: Fax: E-Mail: . Phone No. a-- DLO Fill in fee simple Title Holder on next page€if different E Mail: do .tr'm from the.awner listed above) State or County License: i IS CROU If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required. Jul 2418, 12:49p Advantage Air 7724654945 p.3 - �+-- - - - - •;r•. - 51' -._. .-. ..z..:,... -_ ...•:_-:.{•!:.=.+is^- .:[:.:r:`:..' .::.::.-i^:C'-i:"'::`- :ice ' ••.:.....,. ....�'..'-.r' '�''a"-..:..�'•'-:.•J::"C�.'".._"::..r."::ti=.:-:.:Le_..i...•-.'_.,'.-:.. : DESNEER: Not Applicable MORTGAGE COMPANY NoLApplicable Name. Name: Address: Address: ZIP:. Phone State: City: State: Zip: Phone: PEE SIMPLE TITLE NOI.DER: ___Not Applicable Bowline CC?i mw.. __Nc Applicable Name: Name Address: Address: City: City_ ZIP: Phone. Tip: Phone.-- OWNER/CONTRACTOR AFFIDVIT:Appu action is hereby made tao obtain a permitto do the work and installation as indicated. .I certafythat no word or instaitation has commenced priorto the iswance ofa permit. St.l ucie County makes no representation that is granting a permitwill authorizethe permit holderto build the subject structure I which Is in co ictwitt i any.applicable Home Owners Adso n miles,bylaws or and covenants that may restrict or prohibit such structure.Please consult vuith your Home Owners Assodadon and review your deed for any restri