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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: T,• `5- q Permit Number:,
Building Permit Applicatio RECEIVED
Planning and Development Services NOV 2 5 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: I L, A VIC.Q G
Property Tax ID #: Lot No.
Site Plan Name: Hi4 i iC �� 2� Block No.
Project Name:
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
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ " ' Utilities: —Sewer —Septic Building Height:
Name Le+. ( IC in,, ,jle
Address; T)q S W 'W tcav, L.rC...::...._ .,.:
City:
Zip Code: 3 Fax. ,1
Phone No. ?7d`� q �{:b 7?
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Pitch
Name: 1p "'x/G
Company-, .. Der-lc(C�..
Address:..5' Z S'r2 a0o
City: State:
Zip Code:`3'(rT; .
Phone No
E-Mail EO D V)A.1l erJ— C %a1) : 66
State or County License
If value of construction is $2500 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.