HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE.ACCEPTED I 1
Date: I - y' vg Permit Number: 1 1
RECEIVED
Building Permit Application
Planning and Development Services Q C T 0 4 2018
Building and Code Regulation Division ST, Lucie Count
2300 Virginia Avenue,Fort Pierce FL 34982 . Y� Ptarmitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:
Address: io-) 40. - beAQ 1 r-L 3lM 7
Legal Description:
Property Tax ID#: S 000 OCO- Lot No.
Site Plan Name: . Block No.
Project Name: C -ryP,
Setbacks Front Back: Right Side: Left Side:
r-LOn r Cep-rt S cp r "S"Xt LD U a 1 Qe tf"Y%-T- 6-0
11ditionalwork to be performed under tispermitWcecall 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:$ o Z - Utilities: —Sewer _Septic Building Height:
Name �,-W4„ 1p�f EW p c j= to Name:�)Lat"A-kv IL-
Address: e(6� -84144 _AAI)(-AAI)( Company: �► r a�
City: C14r c1 D& Stater Address: 1141 1,,XrGr1
Zip Code: S 2 Fax: City: God, ISA k� )D State:-jE-c-
Phone No. alQ "*QS- q Zip Code: Fax: 07 136 R 3 i L
E-Mail: Phone Nom i:? q 51 Z Ef O vi
Fill in fee simple Title Holder on next page(if different E-Mail R-,-,ZA w E
from the Owner listed above) State or County Licensees
- 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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