HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE.INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j
Date: `� _ _ Permit Number: i �°�°
RECEIVED
Building Permit Application AUG 17 cJ18
Planning and Development Services
5T. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line p 4tT
Address: c 2l,0-5 - --�
Legal Description:Q 077a SX C,Oc te, 8Lct&, 3 16 nk 065
Property Tax ID#: 3 as- 6-a-Q L(-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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10 itiona wo to e e arme un er is perm —c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters lz/Windows/Doors -
�Electric Plumbing Sprinklers Q Generator 1 Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor: — -
Cost of Construction:$ C1 Utilities .Sewer aseptic Building Height:
Name —r1"+6erNa.S &a2ak Name: e �V, . -- 0CA E Srt et"
Address: N W ,ya(r;ci 60 Company: cry QC`s
City:B)A sa;ri State: Address: t 3,a in J. -79`T -(f:12
Zip Code:',Lyq h -o Fax: City: LZ, QJN, State:-FL
Phone No.':n G _( 0!3 el Zip Code:33y1 Q�--- Fax: 561 - S'S• fG�5-
E-Mail: Phone No. 5b - t� 5- 44 0 5-
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: C(n (�
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.