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Building Permit Application
i . All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 L� �1 (�� ((� Date: 2�'"� lel Permit Number: v �� Lg`(" , "' CoDu i RECEIVED F 1L © R t v .`` ,1111111111111111110.111111111111111.11111111111. Building Permit Application FEB 12 2019 Planning and Development Services Permitting Depa ent Building and Code Regulation Division St. Lucie C my 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553. Fax: (772)462-1578 Commercial Residential PERMIT TYPE: F`ROP GEO IMP"01/EMJTL€CATIONn,'A ` 7 '. i ' . .. -- , Address: 3 O O t.✓ .Acca cC< -.e c- Property Tax ID#: q CP(0-- F D'PO )Ir 0 0 _,gr Lot No. Site Plan Name: I Block No. , Project Name: /f c_v-1-0. .,....1- Lam!`- Oct E(; DD`DESC�RIPTION COWORKD tri.k 1( slo L- 0.47 j_00( • CON-S° RUCTI® INFORMAIOW C 4 .' :. $.¢i p, Additional work to be performed under this permit-check all that apply: —Mechanical —Gas Tank —Gas Piping _Shutters -Windows/Doors g p Electric Plumbing Sprinklers Generator Roof ' Pitch — — — — — Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ (S c 'LI_ Utilities: _Sewer —Septic Building Height: I OWNWR/L zSSEE°, - - CONTRACT®R? ' '1%. Name JO&. :A/0r ' c t.- Name: C-,':,(- run � Address: .13 0 0 S Lowe c r-. , C.c, (5 1i - Company: iJ r H.,n + (.5��P dtii .cr1" City: 20Lt. C State: IJ� Address: fur S v.. ,5,1-,r� S L c,� tr• "9'1G� Fax: City:Code: 3 c 1? ,s -C . State: P c. Phone No. Zip Code: 3tt55,4 Fax: E-Mail: Phone No 7 lZ -k-29-6071 Fill in fee simple Title Holder on next page(if different E-Mail b r rc— ni-< wt SC-lc c_ r o vN from the Owner listed above) State or County License (Z j 3 oa(-7 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. 1