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Building Permit Application
All APPLICABLE INFO MUST BE-COMPLETED-FOR APPLICATION TO BE ACCEPTED ; Date: � Permit Number: z �J RECENED - - BuildingPermit APPication , I FEB 10 3.2020 1. Planning and Development Services i 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: i 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: it 'I D AILED DE�SC*RIPTIONp+F /JOR n,7 C, f �{ eGc• yed` i��1! S,'�, i-�' — 1,Fe. A cR- fG, va rc� v� �'tti II lea/ lo�ar'Gr' C e,11-, r C,,n y I q l w,"I 't - W . 11101afid h 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, ; i