HomeMy WebLinkAboutBuilding permit applicationALL APPLICJIE IN O MUST BE COMPLETED F,IR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
- - i
Plannfngan Oevelopmenf5ervices BUllclfp„1g Permit Application
Building and ode Regulation Division
2300 Virgini Avenue, Fort Pierce FL 34982
Phone: (77 462-1553 Fax: (772) 462-1578 +' Commercial
PERMIT A ' PLICATION FOR: Residential _
To Select;from d. Vf x, click arrow at the end of line
IN 31
Address:
Oil
Legal Descrip on: LA P
1 i a-42
Property Tax #: �333y _ <, I _p .
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Site Plan Na?
Lc t No, 3q
Project Name �� \
q✓ a1 c Si: 1f BI ckNo.—
Setbacks F
nt� Back: I. Right Side:
�. " left Side:
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Huumonal w ' k to e er orme g J'
un ert Ispe nit-c ec a
sm
HVAC �_p I apP Y o-' a j
Gas Tank L¢J Electric n ❑Gas Piping _ Shutters Windows/
Plumbing E ispi;nklers
Total Sq. Ft of onstruction: �J Generator Roof
UC S Ft. of First Floor:
Cost of Constr ction: $ S, W
Utilities: Sewer Septic
Building Heil
Name tW PjUct.cty�nv
Address: O tt� f�- �� Name:
Ct( an rt y
City: Com o/ P Y I�11i r!d k Al
Zip Code: 3.t State: -FL Address:
(I City:{�� t }�
Fax: I n
Phone No. '�jos, G) p ��— — �—�—v�
E-Mail: Zip Code: 5' %1
Fax:
Fill in fee simple Title Holder on next page If difr gent Phone No. J 'I� - t{ b)
from the Own r listed above) E-Mail: Lh
State or County License:
, G4C�-4If value ofcnuctionIs$2500ormorea RECORDS[.. Notice of Commencement Is reawrod
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Name:
Address-
City:
Zap:
FEE 8 iNIFEE pLE
Name:
Address:
City:
Zip:�-
I certify that
HOIpEfl: Not
Name
+4ddress:
city:
ZIP -
Name:
Address;
City,
zlp:
or installation has cootmenmw prfor to the Issuance of a permh,
s nareprZlen<t�lun thalls gralttinaa nennl! v,®a.,x,...i._.�_ _ h anuunw �, u___
In conslderatl of the granting of this re4...... peril in aeegrdance the approved plans„ the Flor* egad
Thefonowingb tiding perrtVtAPpllCetlon$are egetsgN accessor t. LIC el, swimming pouts, restm weUsl
WARNING T OWNER:,Your failure to Record
irstpp ovemen to your property. A Notice of
beFe the fl inspection, if you intend to oh
Thes%TdItumwas`acl_noiJiedg%beMuamethi�2b L by
Nat
_Nut
.....r erYir.
140 hereby agreothet to Gain respects. Perform the•vtork
ag Codes and It. Lucie County Amandments.
m 4ndergWng a f}eil cCncurrerwy review: (,Dorn addFtloos,
, scram rnottsandacCassery u$es to another non-rosidentfal use
rrtkeo{Common
cement may result In your paying twlde h
nmence ent must be recorded and posted an the lob,
n flrland4L consult Witp,lender gran attompv hninre
Tito f nginstrumentwasacknowledgedbefore me
d thlad yore 200 by
- �•P.�=arpersoneaasmvtedgfng] �
f Igrtature of liry Puhlk State of orWa ] (Slggature of NYtary PP III- State of FhAdK )
Parso f Id K � tce PrOtEW:ed ItlentiRratlon „�� Personalty Known " OR Produced Wendf cstlon
TYPaofldengR tlonWaduoed Type ofldentifeadonProdueed
Commission Mt`i(a07llfy iSaafj ComrnlsssonNa,u�b711t%
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REVIEWS FRONT ZONING jiVIEW
PIASVEGETATION SEATURTLE MAN Ra
COUNTER REVIEW REVIEW REVIEW REVIEW RE REVIEW DATE
INITIALS 111 I I -7 - t7