HomeMy WebLinkAbout Fire Department no Approval Notice All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ✓<J/�'f &),o Permit Number:
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Building Permit Application
Planning and Development Services � / {
Building and Code Regulation Division Commercial V Residenial j
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
P;ROPOSED-IMPROUEMENT LOCATfQNRE
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Address: 3 q Q /V W t f 0tl IL Ak
16
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Property Tax ID#:H ��_l� �� �Q ��0~��dy� Lo o.
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Site Plan Name: ffarhoct to 1;d ' ,/Gt'61 ie Y1ce rre Block No.
Project Name: cVg(nr i L& e�ivr t vi' I
DETAIL-ED DESCRIPTION OF WORK: « -
i -oh aT 6 to r'C k(e bG I fs fP►'�ovaf t r>° I geem en - -
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✓lcl'n 11C rnOPr Cokcl" n cc CC10'-h4"7 Ti
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New Electrical Meter V Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical _'Gas Tank _Gas Piping T Shutters Windows/Doors _ Pond
V^Electric V Nlumbing _Sprinklers _Generator _Roof Pitch i
Total Sq. Ft of Construction: t/ Sq. Ft. of First Floor: AV-11
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Cost of Construction: $ jQ d� G� Utilities: Sewer _Septic Building Height: Al
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O.INNER/LESS_EE SSOLrCc�IU►� CONTRACTOR
Name 8gi-batAr, K e r L eFS Name: or if
Address:13Soo NW 6ro�-A a Company: 13arM COr f4n4'14I Uh skit I
city: r06tlm CI ty State: L Address:I r _77ho1jcaY1 R�vo(- 6lva #)per
Zip Code: 3 q q 1� Fax: i?a 336 19 6 ct city: V e ry S each --77 State: FL
Phone No. 7�7�a� 336 ��D� Zip Code: Fax:
E-Mail: M, SRr >r^o r CC . r` p Phone No a' o`3 07; I
Fill in fee simple Title Holder on next page if different E-Mail Y'7 k e (5-' r fl!1 (Of) �Irt,t�i'00,
from the Owner listed above) State or County License an c 1_ rd' b l
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If value of construction is 250D or more,a RECORDED Notice of Commencement is required.
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If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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Planning & Developmental Services Department
Building & Code Regulations Division
L: 1_ � 'L L, z -.._ RECEIPT CONFIRMATION
Package From:
St Lucie County Building Department
2300 Virginia Avenue
Ft Pierce, FL 34982
Please confirm receipt of package.
Recipient: St Lucie County Fire Department
Delivered By:
Recipient Name:
Date Received:
Permit#: 2007-0207
Notes: 13490 NW Gilson Rd
(1) Digital Copy
Revised 614119