HomeMy WebLinkAboutBuilding Permit Application, updated correct verbiage, 1-16-2020 I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: lb l�(— 1°t Permit Number: ���
R cam C
- = OCT 14 2019
Building Permit Applica n
Planning and Development Services Permitting Depa tment
Building and Code Regulation Division St. LUCIe County, FL
2300 Virginia Avenue;Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: fC-N C-E
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Address:'Zl U 2_ El t Zcr f'h P/r_Ve_.: FT - P%e rC e IT-(-
Property
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Property Tax ID#: lj`o� ?�-Dd��- �`� Lot No. 3 1
Site Plan Name: Block No. '2-
Project Name:
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Additional work to be performed under this permit-check all that apply:
_Mechanical —Gas Tank _Gas Piping Shutters —Windows/Doors "
Electric —Plumbing _Sprinklers =Generator —Roof Pitch
Total Sq. Ft of Construction: ( 3,3 Sq. Ft.of First Floor:
Cost of Construction:$ W36 d Utilities: —Sewer _Septic Building Height:
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O 0 O'
Name C�� Qer�n.r. Name:
Address: 2lb'2. C%1-t'Cb-e+tN piy c_ Company:
City:
T. IP 1e r CA State: Ft Address: -
Zi pCode: Fax: City: State:
Phone No. x-12.'S 7Ct--1 13y Zip Code: Fax:
E-Mail Phone.No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
If value of construction is$2500 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.