HomeMy WebLinkAbout02-34-39 (9)0'~F :E USE'ONLY:
L.E~'D'
REVIEW ~FEE:
RECEIPT NO.:
ST, 'LUCIE'cOUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
2300 VIRGINIA AVENUE
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FORT PIERCE, FL 34982-5652
561-462-1553
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The
,ir~dicated
or more,
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJEGT INFORMATION
S/D NAF..~,~ [x.~ .,,_..,.,~.t.,~,~/.,,~ _ .- Wf/Z~$1TEI:~LAN NAME: .
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LEGAL DESC necessa
LAT ~,/~/7 6.~:/i~GE 7. BLOCK
OOK . NO. NO.
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.LOT .
NO.
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ION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
FRONT: .BACK: RIGHT - LEFT
.... 1"~-" ~ . ,~0 SI:DE ~,.~ · '~" SIDE: ")'~ ' ~'""
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OF CONSTRUCTION (Check all appropriate .boxes)
] ~NEW CONSTRUCTION
] RESIDENTIAL
] OTHER (SPECIFY)
'TION OF.PROPOSED USE:
.~ EXPANSION/ADDITION
[] COMMERCIAL
[1
[1
INTERIOR RENOVATION
INDUSTRIAL
· Ft./CONSTRUCTION:
CONSTRUCTION:' $_ ~
is used to' determine the amOUnt of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the
if it is demOnstrated that the.submitted figureS are not consistent with similar tyPes of construction a~ties, If the value is $2500
: ~ =ement mUst be sUbmitted with this apPlication._
Form No,: 001-02
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"Douglas. K' & Lori .: I
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, MCkaughlin. Land SUmeYing,
(407) ~~250 ': ~' '
F~: (407) 48~730
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