HomeMy WebLinkAboutBuilding ApplicationALL APPLIC LE NFO MUST BE COMPLETED ')R APPLICATION TO
Date: 1 9 - BE ACCEPTED
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i.. Permit Number:
Planningan
DevelopmenfServices BUilding Permit Application
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Building and ode RegulationDivlsion
2300 Virglni Avenue, Fort Pierce FL 34982 I i II
Phone: (77 462-1553 Fax: (772) 462-1578' i'
Commercial Residential I ``
PERMITA PLICATION FOR: II
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Address: louyy S, uCna
Legal Descrip on;�
Property Tax >x: 45oa- ?1' q dI)q 000-0
Site Plan Na r
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Project Name S;ol , �Q e $, 1�„rte L No,
BI ck No. _J
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Back: _ Right Side:
Left Side:
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Ilona w to a er orme �' +� s 'Ills
nn un ert Ispernt
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UHVAC Gas Tank -Pp y
jj�� Gar Piping _Shutters �r !'
lmlElectric plumbing QNimdOwS/D ors Ii4r—1
0SPrinklers Generator n
Total Sq, Ft of onstruction: 1 Roof I
S . Ft. of First Floor:
Cost of cc) ctlon: $ q �, �'
Utilities:�5ewer❑
Building t , SepticII ;I
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Name t t>
Address: to II t 2—
SW L(a' S} Name: stn. lea 1
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V� ',q , Company �owG✓1 � _
Zip Code: St -d r2: —FL Address: bk 11 e �' �v+3
Phone No. 3JS - }g- 0-- Clty: oafs Jr W c j �
E -Mail: ZIp Code, '15�1,1�5} tate: �L II
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FIII In fee situp a Title Holder on next a ' '.hy Phone No. `1')a - y b 1- 13 I� '
from the Own r listed above) Page (if di ;rent E -Mail: M+IL (,r @ �„w���r ii
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State or County License: Cr -Co S 6C67
If value of const uction is $2500 or more, a 1 RECORDFNotice of Co j'': mmencement is required.
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