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HomeMy WebLinkAboutBuilding permit applicationAil APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Hate: 5o . �'' ' f' Permit Number: a f I i Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial , _ _ Residential PERMITTYPE: #� PROPOSED IMPROVEMENT LOCATION: Address' Iyl I. ` l ct Property Tax ID #l: :Y q • OULL • 000 • -I Lot No. —U Site Plan Name: { L1 t Block No. _ Project [Name: - DETAII_EI7 DESCRIPTION OE VVORIC: JJ• .. `` �� (4 -� (\' ff %� J/ fes} � - _ � / j S V l �' (- L-. 5 -re V n.- Ci91EN,(- AtE-A! ! 1 ,,l il/\1 CONSTRUCTION INFORMATION: =nil i 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: Sq. Ft. of First Floor: Cost of Construction: $; . utilities: Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR:, NameAaA l� '� -Ir I -.. Name: C " on Address: Company: %Lll-(,SY–, r LC:( City:' -,-t) 1 State: LL--- Address: C) 1 C, 4-l Zip Code: �a` Fax: City: '{ Stater . Phone No. cL' I - Zip Code::jLicl c? L-( Fax: 1\ _ E -Mail �v' I LEA I Y -ti � � _ Phone No r`lf Fill in fee simple Title Holder on next page € if different E -Mail; ;I r,j n n NI ( •moi from the Owner listed above) State or County License C fi . I C If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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