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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: r o a �. `�` � � =County, Building Permit Applicati n Planning and Development Services Building and Code Regulation Division ST 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential _ PERMIT TYPE: PROPOSED INPROVEMENT.aI.00ATION,, T - Address: vi (e 2 " k PropertyTax ID#: 94-0(o I"L� -000( - ©CO Lot No. Site Plan Name: Block No. . Project Name: o � DETAII,ED Ql S PT. 10 Wb WaRK ' �LEc wtevJ( ogc� ,S C 1d L1.7 'A fcT ad���,J' ��$ 4 t Is Alt-( (P Qoy ICONSTRIJCTIORINFORMAI`ION - s ,_,r Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construe ion: Sq. Ft. of First Floor: Cost of Construction: &1(000 Utilities: —Sewer —Septic Building Height: 01I1f N ER f LESS EE: CONTRACTOR: Name (EIooA _ tb 4a Name: C Address: V1, ( !J Company: 1�����r -i(I(' City: ��t�,�k (�L(TC State: ��/ Addre�s:� ,`" e. _ Zip Code: Fax: City: 108 �� State: Phone No. Zip Code:� �r _� Fax: . . E-Mail: Phone No Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License GS- 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.