HomeMy WebLinkAboutBuilding Permit Application!
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ALL APPLIC . L INFO MUST BE COMPLETED F„ APPLICATIONTO ADate: ED
Permit Number:
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Planningan� Development services BUildiing Permit Application
Building and ode Regulation Division
2300 Virgini Avenue, Fort Pierce FL 34982 1j
Phone: (77 462.1553 Fax: (772) 462-1578 COMMercial
PERMIT A PLICATION FOR: Residential _
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Address: 3 2-0 Pz-Ip
Legal Descrip on: SVC-2atU0.V1 y CIJb
Property Tax p;
1X73`1 003 —D
Site Plan Na
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Project Name %
Setbacks F
nt� Back: ' Right Side;
�g$$ Left Side:
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f - cr,ormea un ert Isp'irmlt—c d,t 1 ;r'° ""t'";'
HVAC ecta aPPy� I IjM''.M`I
Onn Gas Tank ,� , Piplgg
Electric 0�j n _Shutters �Windl
t — Plumbing Oswinklers
Total Sq. Ft of onstruction: �.I Generator Roof
Cost of Constr ction: $ 3-9'5, 'A' S Ft, of First Floor.
Utilities:SewerE]Septic Building
Name
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Address: 3 b le ��� �. �? Name: ei
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City: of S ut,� Company: 'bw[
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Zip Code: 3 °tS2 Address: brri) { Rom„
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Phone No. '� LI �
E-Mail: ZIP Code: gSa
Fill In fee situp a Title Holder on next a 1 Phone No, �� 6 r Fax: _
Page (if di ."rent ) 1313
from the Own r listed above) r, E-Mail:'L, u t-cp �� I
State or County License:CFLpSE
If value of const uctlon Is $2500 or more, a RECOROE�
I ;;Notice of Commencement Is,e—. —i a
No.
i��c ApplPCat'�.Lee�,�.»:,
Name; NotAppil hle
Address:
CItV; Addre
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Zip:Stale:
Phone: ~-6 city` State
FEE SIMPLE Zip Phone:�_�
HOLDER: — Not Applicable IIONOING COMPANY:
Name: —Not le
Address; II Name;
City: Address:
Phone: city:
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Icertifyth,tn korinst&llationhas
oornmencedpriortO the Issuance of* permh,
St L gefaun ekssngrepr 1 tignthe h
whic� I3 In eon with anV app ur e i r tl 6 a ennit wieeutt wleathe erndt hold to hu
structure.Ptea ooOstdtwithyqurkgmegwr,ers:AsMatibm=tle gh�pgri� cMMnants,t; ydr�tectss�rru ure
Inconsiderotl gfthegrenttngofthfsregyasted your t fdrenyrostrktans l et°rprWst torch
in accordanro the appraved pl perms 14o he+zhYafroothat i may apply,
am, the Florfrta wIdlYg todts and St othaWcfts fain' W aR resptcts, pteform the work
Thefolkrwifto lmh% permit APpihotlons are t tYMtindrptnts.
accessory strut rep, swimming pool,, t#'7tm undergoing tildl condurr,ncy revitw: roam additions,
WARNING; T O ''� LsGrety rows andacrxssory ustata enot9ter n ddItloidenital use
WNurpr Perty�R Noti a to of Itrtlreof Camrvencarttertk may result inyour
impp oyern I to our pro
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theft inspecgon, If CC��nitnencerrI�}ertt mast be recorded and Posted onn the ohs r.
LoM$1tncIna . wi �..r...A,V'au intend to ob'f . finendab_ p
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