HomeMy WebLinkAboutLucas Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
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Building PermitApplicatiol
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 X
PERMIT TYPE: mo{,�`�1}
PROPOSED IMPROVEMENT LOCATION:
Address: 10�pd% �1ioe C,�b (A \2��Q3J9:J'S
Property Tax ID #: && ! 'a` _160 k "oco a>-- noc>- a, Lot No. 3
Site Plan Name: c-K l f� Block No.
Project Name: ` Joe- Lam_ ILIC)p �Rf ccol�
DETAILED DESCRIPTION OF WORK: I I
n
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
Mechanical
_ Electric
Gas Tank
Plumbing
Gas Piping
Sprinklers
Shutters
Generator
Total Sq. Ft of Construction: izr (7D Sq. Ft. of First Floor:
Cost of Construction: $ _ � pOa.O Utilities: —Sewer —Septic
Windows/Doors
Roof lJ ", 1 a' Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name S
Name: J04QArnJ (aQ(C
I CA
Address: )(� LCiff-
City: Ri (�` 2keLQ _ State: R_
Zip Code: q Fax:
Phone No.
Company:(A
T(Z10 SZW"C_ A
RU
Address:
City:
Zip Code: 3a�14j
Phone No
State: TL
_ Fax:
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E-Mail: f `IL C.cSa;:!l
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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State or County License
It value of construction is $ZWU or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.