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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `
Date: lU ' • t Permit Number: 1 1 IBJ
I� RECEIVED
Building Permit Application (;CT o 4.20`18
Planning and Development Services ST. Ludo 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: U Wo
1
Address: �� 7 d � �'`� OCA— Seo PC-td
Legal Description:
Property Tax ID#: f�� I `� S����� 60%4 Lot No.
Site Plan Name: Block No.
Project Name: e�-jg�
Setbacks Front Back: Right Side: Left Side:
Additional wor to be performe under this permit–Weca that appy:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors
_Electric dumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ '7 nE� Utilities: —Sewer _Septic Building Height:
Name )a Name: W (,ULv.���
Address: C(d D`L ' ��j of�'sD - Q;V- . Company: 1% c«� 2�1,
City:_(� 2Lon' b n State:_C7 L, Addressl dvt,P k�&t�a ALL.
Zip Code: Z 7 ga[q— Fax: I'� City: ( ,`r A C) Stater
Phone No. o` be:. Zip Code: • lti-� Fax: gqG7
E-Mail: Als. Phone No
Fill in fee Aple Title Holder on next page(if different E-Mail �- _ � e aAA
from the Owner listed above) State or County License ('kt� (d 7--1 4, Tr
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
To: Karen. Page 4 of 4 2018-10-04 19:25:47(GMT) 14079309312 From:Joyce Foran
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