HomeMy WebLinkAboutBuilding Permit Application (2) All APPLICABLE INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I l`�!1 Permit Number:
Building Permit Application,:,__
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Planning and Development Services
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: F-er►c-Q-
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PROP;OxSED'�INPROIIELVIENT,L�.}CAT101 F N. . . 1, s t
Address: 5610 SM14) Lm-e— �RAe" PL 1-�M{,-
Legal Description:
Property Tax ID#: 3LJ 0(OC) a 00 ► i a 0 n(D Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Additionalwork to be pertormed under this permit–cneCK a tat appy:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_.Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 170000 Utilities: —Sewer _Septic Building Height:
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OVIfNER%LESSE � y7� t *fs ,�` � ` T `' -,
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Name 91L l"o ir Name-
Address: r1
ame•Address: r1 k Q Sm" Company:
City: FI'.�4k•evCic— State: Address:
Zip Code: 7 kkA rb a- Fax: City: State:
Phone No. ��a• ri��– q�J�( 3 Zip Code: 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
If value of construction is 2500 or more,.a RECORDED Notice of Commencement Is required.