HomeMy WebLinkAboutBuilding permit applicationI =
ALL APPLIl!C-A LE INFO MUST BE COMPLETED FIR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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Planning an Development5ervices Buiido,,ng Permit Application
Building and ode Regulation Division
2300 Virginl Avenue, Fort Pierce FL 34982
Phone:(77 462-1S53 Fax: (772) 462-1578 f!
Commercial Residential
PERMIT A PLICATION FOR:
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Addres(000 S. ocean
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Property Tax
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Site Plan Narr
Project Name
Setbacks F1 nt
Back: Right Side:
f ' g �_ Left Side:
s � i .ID a �'�„
�eu underthlspermit-c ecca l `11�-
HVAC ❑ app y
Gas Tank Gas Piping _
6Electric j� Shutters 11 Windc
0 Plumbing 135 linklers p - Generator �j
Total Sq, Ft of onstruction: lo.l Roof
Cost of Cc
ction: .ram S Ft. of First Floor: -_
$ Utilities: ewer Septic Building
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Black No.
Address: S.ot_fa.,jr' licia Name: ?ter 7�L}l�c
City; Q y sec,C'e, Company: a Cy 7`
Zip code;?y Rrj� State: - Address: b$II }Qw,
Fax:
Phone No. Shy ^Syb- 3�(p- City: (o! q_ t,
E-Mail: Zip Code: 75 Lill S a
Phone No. ' I Fax:
Fill in fee situp a Title Holder on next page ( if difi rent f
from the Own r listed above) E-Mail: 1'1,}�it
State or County License: �co S
If value --of uction Is $2500 or more, a RECORDE[i'Notice of Commencement Is required.
PL-
Name:
Address:
Qtv;
Zip.
FEE SINLI
Name:
Address:
CCty:
zip:.
—
I certify thet i
St. L e Goon
sirfuuc�ture,
in considerstl
in accordance
The folfowJng
COUNW OF
The fo aIng I
thI day
HOLDER:
MORTGAGE COMPANY
Names
City: —
Zlp: Phom
Ile RONOtNG COMPANY:
Name:
Address
a� City.
Zip: a;
or 1nst611atlon has cemmenc¢d prior to the Issuance of a permBt.
h any nee FerL that h grouting a oermlt v,®.s.nr,,..i._.k_
— Not
_Not
it the granting of this r . " r— oeao vorony restrktldno +;fi
eQuestod perrnk E d9 Y apply.
h the approved plans. the Florw* With Cow agree that I NIII tom respects perform the vrork
ng dosand-St,tuc(etoyntyAmendments,
wJMrr L appUCetlan5 one exempt 4n, undergdng a U r-0ncur►oncy reylow: room additions,
es, NER, ng pants, rehoos, wailt, 51��'croon rows and acenssory uses to another nort-rdsidential use
DWNEg7 Vaur faRrrn to Record a ilottce of Cammaacamwrt result In your paying twke fc
to your oil, if rty. A I Pnd t o#Coirmance erlt must be reoolYjed and posted ail the job.
insAttctlon, If you ntend to obit Dn tlnan.d Consult Wltp,lender or an attonnev hwfnre
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REVIEWS FRONT ZONING
COUNTER REVIEW
114MALS
SUPERVISOR I PLANS
REVIEW REVIEW
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VEGETATION I SEA7URTLE
REVIEW REVIEW
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