HomeMy WebLinkAboutBuilding Permit ApplicationBuilding Permit APPlication
Planning and Development Services
Building and Code Regulotion Division
lioo irgiri, Avenue, Fort Pierce FL 34982-iii"",ittz) 462-1ss3 Fax: 1772) 462-1s78
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Commercial-- Residential / \
Address:
Legal DescriPtion:
Project Name:
Setbacks Front-Back:
-
Right side:
-Left
Side:
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UtrlHVAC
Electric
Gas Tank
Plumbing
as Piping Shutters
Generator
fl*,noo*s/Doors
tr tr flnoot E Roorpitch
Total sq. Ft of Construction: '--
cost of construction, s SbOD S'O
Sq. Ft. of First Floor:
-utitities: I-l ru*",. l_l s"pti.Building Height:
PropertY Tax lD #:
neCOnpfp Notice of Commencement is required'
ffitoN FoR: To serectfrom dropbox, cricr< aT:Y*11j1:#Hffi
E-Mail:
State or CountY License:
Zip Code:
Phone No.
E-Mail;
Fitt in fee simple Title Holder on next page ( if different
from the Owner listed above)
MORTGAGE COMPANY:ilrcppticable
-Not
APPlicable
FEE SIMPLE TITLE HOLDER:
lHlfi,+J,
The fgrgoing instrggrept lvas acknowledgey',before me
this 5) day of \lat(.V2€v' . zo lE uy
Name of persgn making statement
Personally Known X On Produced ldentification
Type of ldentification
Produced-
(Signature of Notary Public- Stat orida ), Catherine l(onger
1'-= iblion#FF1723n
BONDED THRU
1ST FLORIDA NOTABX IJ.C
Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Theloreoine instrument was acknowledged before me
thi%It*;y ot U*M-r .zo-l?-:uv
*ahr/\ {lWrcnlle
Name of per.son making statement
Personallv Known r( OR Produced ldentification
Type of t dentiii catiii-
Produced
(Signature of Notary Public-
?Cpmsision#FFL72372
iS-iiils: Ogt 28,2018
SEA TURTLE
REVIEW
FRONT
COUNTER
ZONING
REVIEW
DATE
COMPLETED
Rev-8/2117