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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE.ACCEPTED �(
Date: �• I1 Permit Number:J U 10 (3 160
RECEIVED
Buil.ding Permit Applicatio OCT o 4 2o�s
ST. Lucie CounEy, Perrnittin
Planning and Development Services g
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)46271553 Fax: (772)462-1578 Commercial _ Residential
PERMIT APPLICATION FOR: t U �
Address: 6QZt\,4 Q(-k- 05 zA r5e-,ry 3q q.�Z
Legal Description: t1
Property Tax I D#: Lot No.
Site Plan Name: JA
Block No.
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Project Name: f& b J- JA VV gEEA1Q,�6�
Setbacks Front Back: Right Side: Left Side:
Additional work to be performe under this permit-c ec a t at app y:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric Plumbing _Sprinklers _Generator —Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: —Sewer _Septic Building Height:
Namelt%Lr , Pe0a ,cam I%aX- f ) Name: d
Address: '0671, 51h3AMA-e a ems. Company-A(i1Eb'ti Re"-
city:_(5gw)-spa State: V6 Address: VAQ
Zip Code: ZMSI Fax: City:C.GosgI State:��
Phone No. ko-7 dos- 94 mrn Zip Code: -Z,-7-:7 <r) _ Fax: 407 - 3o-
E-Mail: 04,r Phone No '11 131 2=4
Fill in fee simple Title Holder on next page(if different E-Mail ?La
from the Owner listed above) State or County License bee,
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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