HomeMy WebLinkAboutBuilding permit app All APPLICABLE INFO MUST BE COMPLETED.FOR APPLICATION TO BE ACCEPTED
Permit Number:
0
Building Permit Application <<,S60
Planning and Development Services c'oG
`B'uilding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 E
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:
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Address: Y-
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Legal Description: am
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Property Tax ID#. l)()(o y -360 ` 2 tot No.
Site Plan Name: IS"It 110L Block No.
Project Name: 136,,r Ko 1JeJA
Setbacks Front Back: Right Side: Left Side:
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Additional work to be performed under this permit-check all that apply:
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_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:$ o Utilities: _Sewer _Septic Building Height:
Name Rorl- ro -ed✓a Name**'
ame
Address: )-S-)(, 14,940., Cove Company:
City: F-t ,Per,a State: Address: PC f?r76 lor0%6 -
Zip Code: 3 q 4 yq Fax: City:XP,O fSe,41 State:
Phone No. Zip Code: ?i'gg(a .S Fax: 7-7a-177 -S(ory
E-Mail: Phone No `7 S-L
Fill in fee simple Title Holder on next page(if different E-Mail ; , ns�r,�r�an L� r 'ivo .CO&T 1
from the Owner listed abov ) State or County License C6 C /SL LI Y
If value of construction is 2506 on more,a RECORDED Notice of Commencement is required.