HomeMy WebLinkAboutScan- St. LUcie co permitngAll APPLICABLE INFO MUST BE COMPLY ED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 r�
Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Residential
PERMIT TYPE:
Address: "Jd
LN
PropertyTax lD #: 3410 ~ 5!% —D3 2— —O20y-- Q
Site Plan Name:
Proiect Name:
Lot No. r
Block No.
Addi Tonal work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank —Gas Piping — Shutters Windows/Doors
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: �7
Cost of Construction: $ 1,;
Generator _ Roof Pitch
Sq, Ft. of First Floor:
utilities: —Sewer —Septic Building Height:
Name �?� �= C-C�OI`-"
Address:_ Q(6 ,5� Ci01) G-H f
City: FY, �4 Ux- )- , State: E—L
Zip Code: ��� Fax:
Phone No. ')0 8 Q
E-Mail: �' 17 G � �� e
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: LZk TZ }7,� i"5C )) M
Company: L
Address: & 1 17
City: 5 J- , State: Z—
Zip Code: wa Fax:
Phone No
E-Mail
State or County License GAL $ 7
If value of construction is $2500 or more, a RECORDED Notice of L:ommencemenr is requireu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.