HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 0 0 9 91
RECEIVED
_ Building Permit Application OCT 0.4 2013
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division - -Permitting
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2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: `Vb•I
Address: to ao /r�SaO* 00_6t.,� pal C jej"r11- c a 'L- 3q
Legal Description: I FS`kA 0K-Q_ N W)w0
A� f t &4'S
PropertyTaxlD#: �J�tt' oLIOp{�- p�2 Lot No.
Site Plan Name: Block No.
Project Name: ��� �- 1�1'Iy� ?-6PW 'UV&-T
Setbacks Front Back: Right Side: Left Side:
V P"A:v ipc ga_ cr gi KAI Q bzMkrII5, _
Additional wor toa pe Orme under this permit-check all that appy:
_Mechanical _Gas Tank _Gas Piping Shutters _Windows/Doors
_Electric Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construe ion: Sq. Ft. of First Floor:
Cost of Construction:$ 6 Utilities: _Sewer _Septic Building Height:
Name_� yJ�A�`7 �v'(.�� Name:
Address: !�yL)2- 6AtJ Co-c> r,7:� Company:j;(I-n, 5l'(_6q)A_ 6tgc�-( I,LC1�
City: C. rS State:� Address: (3 4
Zip Code: 3 Fax: City: gfa k,10 State:
Phone No 91 r1 s01 0o Zip Code: ,�2_�trTj Fax:!YL 7 S jfr3n= S( z
E-Mail: &1(14 Phone No TO qA7 7,4C49
Fill in fee simple Title Holder on next page(if different E-Mail (7aa.rt
from the Owner listed above) State or County License,Gem f!q7,7!gT
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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