HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: I' �' Cl Permit Number: I
r
RECEIVED
Building Permit Application
JAN 0 3 2019 -,
Planning and Development Services ST. Lucie County, Permitting
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:5 7-01z f Cy C'
PR0PQSED INP VEMENT LC+?CA I'C.} : �`
Address:�1�ZA_z/ 7-,Re-C 7-R , F-r. PG i'C e , FL sz sR
Legal Description:
Property Tax ID#: �;� ` (�� Q `� l�Jt J Lot-No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAI ED DESS IRTION 0 OR
1c2 ,�
100';NSITIR IOTI19 N ff,NFO ,MATIfJN:
Additional work to be pertormed un er t is permit-check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: /ac) Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE.
FC R NL T1 IQR;
Name Rich arr) /7900 Name:.
Address 4/n 7 K�2.1n Jre*e -rra 1 Company:
City: Fpr-4- P.erCQ State: r_1 Address: -
Zip Code:34/9Ra Fax: City: State:
Phone No. 7-7Q-332-5'573 Zip Code: Fax:
E-MaiI:nerd yr as-115 CQ c,mc; l• cc,sra Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.