HomeMy WebLinkAboutBuilding permit app All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: tq t�y -®g - 2D2-0 Permit Number:
QD� ccicrecd a�L RECEIVED
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g"' o s NOV 12 2020
Building Permit Application De artment
Planningand Development Services peYmlttin9 P
p St.Lucie County
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:51_L •'VT LLA D 0
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P ®'POSED IMP„ 20't -; , SNOT RO�'��►�T�CO . .._. .� ��_:�� � . � � � -
Address: 2Z1 d 0 42 NO Sr Fogx Pi zQ F—L
Property Tax ID#: I LA 3 17 OD I ODOZ_ COP/9 Lot No.
Site Plan Name: 14P►i7nM®N 14 14-61 0ITS Block No
Project Name:
-
s� ,�1ysI C ONO <SiN6 UE CaFOJ= LV� A _ZQU0L-E 00-1
New Electrical Meter Second Electrical Meter
�C�O��TRCT�11,J�O�N� N13 �TI®'N°• _ � _ ,:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator —Roof Pitch
Total Sq. Ft of Construction:A,.5 S`� Sq. Ft. of First Floor:
Cost of Construction: $ ®®• Utilities: —Sewer —Septic Building Height:
,y,yrv�`..�'"_ 1'r'"e`Jt $' � _•- ya- ate. IN, { rr �iy- a.� � :¢- ..✓'r�0°�'M"P'7"''QR
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Name C—Li_i C.L.da N&_LiAJ 11*" bme: -
Address:77—t Er N 4Zrul. 5`t Company:
City:1=-ORT pieZe Stater Address:
Zip Code: -3y q4b Fax: City:"" State:
Phone No.7_12— 2-'Z4 —)a*(d Zip Code: Fax:
E-Mail: 1-)d\mor 1 mcLA . e z M Phone No
Fill in fee simple Title Holder on next page (if different E-Mail
from the Owner listed above) 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.