HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r�9' /9, 31
Permit NumLPermitting
-�J' 0 6_� '
Building Permit ApplicatioMAY 2 9 2019
Planning and Development Services
Building and Code Regulation Division Departme11t
2300-Virginia Avenue,Fort Pierce FL 34982 L u C I e. U n tyi FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial nt'
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 13 6 nC-a k4ar d d fi rnnerr-t r-Com, n r'
Legal Description: (e 3 rj fist f Ptr+ OT 5e-c- 4 s ShaLt/n
A-r-cAc, Lz 1370 4
Property ax-ID#: 3 O G. 5-0 LyU(e I U S- Lot No.. /O5
Site Plan Name: Sin anc-S k Ls, E4c'Ir"W S45 Block No.
Project Name:
Setbacks Front Back: Right Side:, Left Side:
DETAILED:DESCRIPTION OF WORK:
-Jv% M FrrcivV i- 5 k F-lw-cc. h,.
CONSTRUCTION INFORMATION_
Additional work to e e orme un ert is permit-c check a appy:
HVAC Gas Tank Gas Piping OGenerator
Shutters Windows Doors
❑ anElectric �Plumbing FjSprinkfers Roof
Total Sq.Ft of Construction: Af�) S .Ft.of First Floor.
Cost of Construction:$ Q Utilities: Sewer Septic Building Height:
OWNER/LESSEE CONTRACTQR:.
Name c-C a re r d- c)bcf 11 Dr l Name: & C
Address: 13 9 IG d' ri Gall&,v cla C rY- Company: 14(kLc,
City:. Et vr-r7,!� , State: P-(- Address: tt-- it d
Zip Code:3 Cf fS�( Fax: 7l7-5-66-"7Y/ my: Ffi VfCKy ff State:
PC-
Phone No. Zip Code:,3 W 6--)- - Fax: 7 �'m
E-Mail: A2.1 Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: & ce !r pc�Gc �e0f
from the Owner listed above) State or Coun 'cense:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.