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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:1�� X Permit Number: rJIRAN 1-111 '111111 o 11111.11-10-i'm Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION Address: 14415 Dalia Legal Description: 06 07 34 39 All that part lying NELY of 1-95 Property Tax ID#: 1306-111-0001-000/0 Lot No. Site Plan Name: Spanish Lakes Fairways Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION.OF WORK: . Infill: Screen in rear lanai under existing truss roof. Concrete is existing. CONSTRUCTION INFORMATION Additional work toen r orme under this permit—check a appy: HVAC _Gas Tank ❑Gas Piping _Shutters F Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 10x20 SFt.of First Floor: Cost of Construction:$ 2100.00 Utilities:Sewer O Septic Building Height: OWNERAESSEE';, CONTRACTOR: Name Diane Snyder Name: Jeff Jackman Address:14415 Dalia Company: Master Craft Aluminum Products City: Fort Pierce State:FL Address: 1634 SE Niemeyer Circle Zip Code: 34951 Fax: City: Port St. Lucie State.FL Phone No.772-812-0724 Zip Code: 34952 Fax: 772-335-0860 E-Mail: Phone No. 772-335-1177 Fill in fee simple Title Holder on next page(if different E-Mail: mastercraftaluminum@gmail.com from the Owner listed above) State or County License: SCC131159586 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL 0NSRUi01 LES LA1�U lNF©RMA�jC3 "z° f DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: �r Name:**do*— Address rte' Address: City: