HomeMy WebLinkAboutBuilding permit appE INFO MUST BE COMPLETED FOR APPUCAT10N TO BE ACCEPTED
All APPLICABLE
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Date: IL"g_tJ-2j) Permit Number
S1: L ccl
,
Building Permit Application
PlnnnlnpUMceVHWmmf Servl[es
Building and Ode Resonated rxhalon Commercial Residential
23W Vol Avenue, Fort Pierce FL ia%z
Phone: (772) 462-1553 Fax: (772) 462 1579
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address 707S F5PlCxEr1e /fur InNCb+-
PmpertyTaxlDB:?4ZI "ii0}-botCD-000-a
Lot No��I
Site Plan Name.
Black Na.
Project Name'.
DETAILED DESCRIPTION OF WORK:
6'
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply.
_Mechanical _Gas Tank _Gas Piping _Shutters _Windnwa/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _ROof Pitch
Total Sq. Ft of Construction: Sq, Ft of First Floor:
Cost of Construction:$ ICiOD Utilities: 5evver _septic Building Height
OWNER/LESSEE:
CONTRACTOR:
Name I )Cl..rhi Qivlax Jx
Name: kSx Cc 6do,-1 �
LTG
Address: ZCDZ5 Eo gocjv rl� A.r. IAxa
Company: -T ch CDoo.
city:-G-r4 r Et. P Grer state: F[.
rpcode: 34GSZ Fax:
Phone No(??L)550S- 2cizz
Address: L(Reiq Mier nra Merc. do
state:_
Zip Code: 2:4083 Fax:
Phone No�i?Zl$28-542t
E-Mail: 4a Q
FILL In fee simple Tale HOMero t page lfftllffemnt
from the Ownerllstad above)
E-Mail G
State Or Countytic z
If value of HAVC is $7,500 or more, a RECORDED Norte of Commeadement Is Parallel.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Applicable
—Not
MORTGAGE COMPANY:
Name.
_Nof Applicable
Address:
Address:
Cjty:
Zip: Phone
State:_
CRy:
Zip: Phone:
state:_
FEE SIMPLE TIT LE HOLDER:
Name:
_Not Applicable
RONDINGCOMPANY:
Name:
_Not Applicable
Address:
Addl
City:
OUR
Zip: Phone:
Zlp: Phone:
OWNER/ CO ITFWCTOR AFFRA IR ApMladm is hereby made to obtain a which to do the work and inuallmon a5 indicate
I certify Nat no work or Installation has CCmmencM 0a as the issuance of a stood.
St Lucie Wun{{yy makes noYrepresentation that is graMle p it will authorize the emit border ter build thesuboectAruaure
Structure. Please let
sult MU Your RomRare,
Ow Owners Association
a d revew your deed icrr any restrictions t5 riitions hitcay h may apd°rnlmtscam
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF L-�cLQ- COUNTY OF - E-
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