HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICA 3LE INFO MUST BE COMPLETED F� IR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Planning an I Development Service, Building Permit Application
Building and ode Regulation'Division
2300 Vir ini. Avenue, Fort Pierce FL 34982
Phone: 462-1553 Fax: (772) 462-1578. Commercial Residential
PERMIT A PLICATION FOR: To Select'
from dropbox, Click arrow at the end of line
Address:
V
Legal Descrip on:
S
Property Tax #:
S -bo
Site Plan Na rr : .3 ------- L No,_
Project Name .. 6'5+AK (4r'l .. (-V- BI ck No.
Setbacks Fi nt back: Right Side:
Left Side:.
v,
e
- [nv11-cneCK all [japp y: I — - - I - - - - - -
UHVAC LJ Gas Tank Ga . S piping_Shutters
. . . . . .
OElectric EaliplumbingOEl WindOws/D ors
Spi-Inklers ElGenerator
Total Sq. Ft of onstruction: 0 Roof
Cost of Constr ction: $ 00. M, SFt of First Floor-
Utilitles:11 ,
Sewer Septic
Building Heigh
Name
JZTT
Name:
Address: __-j
6--e- (L -
City: ()'A +0,(-A Company:: we -VIAL �
Zip code: btj Fax: Stale: CT Address: j-11 -,,Y.
Phone No.
City:_ eol+- fy wj.;,c
E -Mail: Zip Code: ;tate: v:
Fax: -4-4a- L/6)-)
Fill in fee simple Title Holder on nextPhone No, �22a- y(1 ) 313
page If diff'' %7-----�
from the Own,: r listed above) rent
State or County License: C C6
'.f value of lonbx�uct[On is $2500 or W;;��;Wotice of Commencement I cement is �ren.i�.A
Name:
MORTGAGE COMPANY: Not
Address:
Name:
Citi `I
Address,
Zip: Phone: State;
clty;
FEE SIMPLE HOLDER:
ZIP: Phorlra:
Not Applicable
BONDING COMPANY:
Addre_Nut
Address a �—�--=
Nerve;
CCty: "_
Address:
Zip: tl Phone;
City.,
zip' Pksone:
I cert fy that n it orinstsllatlon has carnmencW pilar to the Issuance of* perrnh.
St Lytje Court akae nn.e�.�__. _..
In eonslderatla of the granungof this r ~�-Nm auun ane rwowyour dkedfor;,;y'rcatrktfor11 Y MI ma orp�lt
CFl accordance e4uessed perrnrr, t doh y RVPly.
the approved plans, the FlorWfa eullding Cad and St Cooney Ar andments��f orrtt the yrork
The following W Ifding Permit apPllcatlons are est
accessory strut irej, IwJmming Poafs, fear s, m undergoing afoll coricurrawY reylft: room additions,
WARNING T OWNER;_Your failure to Rec d a'Jotcka u{�and en celtIMm uses to
In our�a sidential use
�CDMjenClri
emen to your property. A Notice o{rte nmence Ix1t must be recorded and postepd oVin�he eft
J inspection, d �u �ntet4�to obFY?n £inancft consult wltklender nran attornav
COU11" 0 II
Theformaingl tru�men�tw�a��aWw>iedgad6ef4rartte
Ihlso�b days 20 l9 by
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1110 forgoing instrument was aciwowledged before me
thls„dgyof 20
r by
i rirarne or Aaram lrknc
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illgrlature of toryPubna State of Fiork[a 1 {Slgnat of piotiry PI
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REVIEWS FRONT ZONING
Oft Produced identitkatlon
SUPERtISOR PIANS VEGETATION SEATURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
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COMPLETE
INITIALS 1