HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED. I O
Date: "1 ' "I Permit Number. 1
RECEIVED
JAN 0 9 2019
h_ Building Permit Application
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 TYPE:
p [r
Address: d.3 1 U
Property Tax ID#: � � /0 T&' y®0' Lot No.
Site Plan Name: Block No.
Project Name:
e 6 e � �i c �to ' � �/r 3 ✓1/
L seer
Additional work to be performed under this permit—check all that apply:
ZMechanical _Gas Tank _Gas Piping _Shutters ' _Windows/Doors .
Electric _Plumbing _Sprinklers _Generator _Roof Pitch '
Total Sq. Ft of Construction: G Sq. Ft. of First Floor:
Cost of Construction: $ l G() Utilities: Sewer _Septic Building Height:
Name: Name: V
Address: 3%
S( h t -e 13, V Company: - C
City: State:NC Address: Ab"'-'
v - a;
Zip Code: 3 Z, . Fax' City: SC: state:
PFione No. �` �2- Zip Code: Fax
E-Mail: vQI L►'` ` -Co"-1 Phone No d 020 69
Fill in:fee simple Title Holder on next page(if different E-Mail 4mc _
from the Owner listed above) State or County License C4CYZ� 22?(
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.