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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE-COMPLETED-FOR APPLICATION TO BE ACCEPTED ;
Date: � Permit Number:
z �J RECENED
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BuildingPermit APPication
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FEB 10 3.2020 1.
Planning and Development Services
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Building and Code Regulation Division permitting Departure^� l`
2300 Virginia Avenue,Fort Pierce FL 34982 Lude Ce'
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:
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RROPOSED CM ROVrMEN LOCA ION.
Address:
Property Tax.ID#: 3�� a"�'�5�d�a-1- �fi ��. Lot No.
Site Plan Name: Block No.
Project Name:
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D AILED DE�SC*RIPTIONp+F /JOR
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CONSTRUCTI+N I FORMATION:
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: /rte'U Sq. Ft:of Fiirst Floor: '
71- — ry I�
Cost of Construction:$ d ��v Utilities: —Sewer —Septic Building Height:
01i11NER/LES SEE: CONTRACTOR:
Name w L n 1/ori e s Name:
Address: S8 W S7`a CCle r-t Company:'
P Y:
City: T 4; 6A e rC- State: F L Address:
Zip Code: :31/7 '47 Fax: A�,IA City: State:
Phone No. 'el 8 Zip Code:'
E-Mail: Aone,,. jiv © ycitiuv, Go/rn Phone No
Fill in fee simple Title Holder on next page(if different E-Mail: <'
from the Owner listed above) "State'oF County License
If value of construction is$250;0 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,
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