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HomeMy WebLinkAboutaltura 1ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ©ate: 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 FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address:'Qo Legal Description: Property Tax ID #: LI r7 5 �5 �(� 5f (;( Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: --� Right Side, _eft gide; DET; ILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Aaclitional wor toa er orme under this permit- check a �HVAC ID Gas Tank E]Gas Piping DEiectric El Plumbing [D5prinklers Total Sq. Ft of Construction: Cost of Construction: $ "Ca C) OWNER/LESSEE: Name "J I c iwi u Address.) l err Y. Shutters Windows/Doors Generator 0 Roof Roof pitch S Ft. of First Floor: _ Utilities:'n Sewer OSeptic City: I��� 5-4 - A , • A State: r1K Zip Coder LlG� LA, Fak: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Building Height: Dame: Z= &� C � a-7 Company:(!et� t` j Address:. -2 City: l� c= C C State: f4 Zip Code.,3L/5 Fax: L & -// Phone No. 46 Y ,a lc State or County License: _ G � 5- { s If Value of construction is $2500 or more, a RECORDED Notice of Commencement is required.