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Home My WebLink AboutShipePermitAppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential / 2300 Virginia Avenue, Fort Pierce FL 34382 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: I I PROPOSED IMPROVEMENT LOCATION: I Address: "'QMn t t ac! Property Tax ID #: `2435 -602- - 003 ` /ul - 4151 Lot No. 1 16 Site Plan Name: Block No. Project Name: %s � ��d �� rr�,I o � Pt �� 10.0 t t)a1ktd 0 -(0a)66 Mail -� 4o . QVEQ1 ZLec,,a .4 ' 2 -Ug, -i Qatv�� tjuyal1 .0 au 4o c c)cce .0 ll tai.) Qr)r), -P-tww e.. Leak New Electrical Meter Second Electrical Meter I CONSTRUCTION INFORMATION: I Additional work to be performed under this permit -check all that apply: _Mechanical — Gas Tank —Gas Piping _ Shutters Windows/Doors i Pond _ Electric _ Plumbing Sprinklers _Generator of J` f 2 Pitch Total Sq. Ft of Construction: 2- Sq. Ft. of First Floor: t Cost of Construction: $ �, ,co Utilities: —Sewer _Septic Building Height: � L 1 OWNER/LESSEE: CONTRACTOR: Name L41 -t aA+ '-)htj [) Address: 3'IC) 49(z) e-ryck- ultq Name: / 1 ' Company: T' e td a L� Li iYl City: !I PLP rrL State: QA Zip Code: 3 4 -'CA b2. Fax: /1(t r' Phone No. Address: 1-5,5q 5C S. ivV-1111-4 r " City: . Cll4`,Sic� Zip Code: 3/Y 1J- Phone No State: Fax: /fit E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail Oaf CC 0 10ty'sf/Gs &)t" State or County License If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. if value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. OZ/9/S'A@d ';uawaauawwoD Jo a0!1oN Jno u!pJooaa jo �laonn u!Duawwoa auJo44e ue Jo J p jlnsuoo `Bu!oueug u!elgo of pualui noA jl 'uo!}aadsu! 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