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HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1� II,, `� `n ' Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: t ► L. rest, (tea o b at Property Tax ID #: 3,19 q , 5(5 - C1,34 .4 Lot No. Site Plan Name: Block No. Project Name: Cal2.ncA(dio P }' Lm New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: —I Additional work to be performed under this permit -check all that apply: Mechanical _ Electric _Gas Tank _ Plumbing Total Sq. Ft of Construction: C1 Cost of Construction: $ q qz,6 ,©o —Gas Piping _ Sprinklers Shutters Windows/Doors Pond _ Generator IZ Roof �J / Pitch Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Address \ Name: 1 Com an `, a� 1 p y: � b► da_ I t Cz1?Yi 5 City: �' 1 State: r Zip Code: Fax: Phone No. C.54" UgLe . 4�O Address: City: 4m f Stater Zip Code: ', 52 Fax: Phone No --)72.' bzi E-Mail T-1 u-, 0 4C rs & �_m State or County License CC Cam! ` 12-tol E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) - - --- -- -- ---- -- ---- - ....., " .`..vv.,vw , W—W v1 —11111-1GC1I em m requlrea. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. 0 9 'Aa CM31MOa 31da a3Al3a32i 31VO MTA321 M31A3U M31AR] /ATA321 AATA321 M31n321 2131Nnm 3AM19NM 3112ini V3S N0IlV1393A SNVId NOSIM3df1S JNINOZ 1NMIJ SAUTA32 1pzortg u90SQj!dx3 Yw ocvsee(xu _ N uolsslw 0 raoU�ii90 Yio e w uo"w�) , ON uolssluauao0 • Ci othS98`J`Jsauof oP01:0 � _ "� ae o o a.ln eu t p $ N ) , -� BiaWBd � aJOemu e ! "@I S -o11gnd Aae4ON Jo ainleugiS) a:)npoad pa:)npoJd uolie3yl;uapl jo adAl o13eogquapl3o adA1 o umau>l Apeuosaad uoljeoyljuapl pa:)npo:Zlels .--gyp uolieolll�uapl pa�npoad ap �' umou}i /�11euosaad !�l •;lew uos.aad jo aweN quawa4ejs 2ullew uosiad jo aweN U--C 14 0 �M U j 144179, Aq OZoZ jo Aep s!qj Aq ozoZ , - jo Ae%.Lp uolIezueION aullu ao uasa.ad Ie . Aqd . uol�ezlae�oN au11up ao o is ad lei jo aw aaolaq paglaz)sgns pue (pawal}�.e ao) O� omS jo aw a.aojaq pagpasgns pue (paw.njje aS -�� 30 A1Nno: d0 A1Nnoa Va12lO13 do 31V1S VCIHOIJ 30 31V1S aaploH asuaall aoiz)� jo aanje JaumO .ao; au@SV se aoloea;uo0/aassa-I /aaumo }o aanleu2i1S 'IuawaauawwOD Jo aaiIoN ano uipjoaaa ao NJOPA uiauau.a o aaojaq Aeujolle ue jo aapual q;!/vi 11moo'Buioueull uielgo of pualui noA jl •uoijaadsui lsjij aq; a.aojaq alisgof agj uo palsod pue AjunoD aionj is jo spaoaaa oijgnd age. ui papioaai aq Isnw juawaauauauao� }o aai�oN y -A:padoid anoA off. sjuawano. aW1 ao} aamq RuiAed uI jinsai Aew 4uaw9:)u9wwo:) jo 93110N a paoaab of ainllej anoA QJ3NM0 019NINIIVM asn lelivaplsaj-uou aaq;oue o4 sasn Aaossa:)oe pue swoon uaaaos 'su2is 's1lem 'sa:)uaj 'slood gulwwlms `sain4z)n.als A,aossaooe 'suolIippe woo.:malAaa Ajuaaan:)uo:) 11nj a 2wo2japun wojj idwaxa aae suoljeolldde 1Iwiad SulPpnq Bulmolloj aql •sluawpuawV AjunoO apnj -is pue sapoD gu1p11n8 epiaol j aq}'sueld panoidde aqj gllm aouepiox)e ul >l.jom aqj waopad 'spadsaj ile u1 '111m I iegi aajSe Aga.aaq op 1 iIwjad palsanbai slgj jo Buljuea2l aq; jo uol;eaappuoo ul •Aldde Aew q:)14m suolj:)Iajsaa Aue aol paap anoA Mahan pue uoi4elaossV saaumo awoH inoA q4Im Ilmoo aseald •ainjoni s guns 1iglgoad ao;olaisai Aew 1egj s}ueuano:) pue ao smelAq 'salna uol;ei:)ossV saaumo awoH alge:)11dde Aue q;Im pq uoa uI s1 q:)lgm aanlz)nj4s pa(gns aqj ppnq off. aaploq 1lwaad aqi azljoglne Ipm 4lwaad a 2uliuejg sl uol;e;uasa claj '3S jeqj ou saJew A uno0 apnl •I!wiad e;o aouenssi aqj of aoud pamawwoo seq uoljelle1sul ao liom ou 1egj AjIjaa:) I •paleolpul se uol;elleisul pue Niom aql op o} lIwjad a ulelgo of apew Agaaaq sl uoi�e:)11ddy :lIAC11d3V a01:)V111NOa /113NM0 :auogd Az :auogd :diZ :AJ1:) :Aj!D :ssaippy :ssaappb :GWEN :aweN algeoijddV ION— :ANVdWO:) 9NIGN09 algeoilddy ION — :213(]lOH 3111131dWIS 333 :auogd Az auogd :diZ :ajejS :AJ)3 :ajejS :AIID :ssaippy :ssajppy :aweN :aweN algeoilddV ION — :ANVdWO:) 3DV91110W algea11ddb ION — :1133NON3/213NEJIS30 :N01iVVU03N1 AAV1 N311 NOunUiSNODIVIN3W31ddns