HomeMy WebLinkAboutst lucie permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1441--
Permit Number.
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(
PERMIT APPLICATION EOR:
PROPOSED INPROVEMENT LOCATION:
Address: 0 (\ 1; A ; v ilh LE
Legal Description: _16
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
g �_ Left Side:
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3 >< IUCTION INFORMATION: -
wor to a pe orme un er t is permit — c eca t at app y:
Mechanical _ Gas Tank Gas Piping p g � Shutters
_ Electric Plumbing Sprinklers
Generator
Tol Sq. Ft of Construction:
Sq. Ft. of First Floor: _
Co t of Construction: $ aJa L .) J Utilities: , Sewer Septic
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ER/LESSEE:
ate- 110_ 10+"INNER M
Address:
City: '
State:
Zip Code• Fax:
Phone No. 1 . 26
E-
Fil in fee simple Title Holder on next page ( if different
fr m the Owner fisted above)
CONTRACTOR:
Lot Nod&_�]E_
Block No. A-
Windows/Doors
Roof Pitch
Building Height: _.
Name: 6 �
Company: 1111 11111f%es �
Address: Joiyi4
City: V'�Q 73�ci�
Zip Code: '320$> Fax: `
Phone No --7-72
E-MailA , 14it ra;l.
State or County License_
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
State; AC