HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE\COMPLETED FOR APPLICATION TO BE ACCEPTED II rrp
Date: I ,- 1 !3- 7.07�� Permit Number:
RECEIVED
41A
a NOV k'9 2020
"04-iwioot��' Building Permit Application Permitting Departmew
Planning and Development Services St. Lucie Count-
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:
Address: }vr/D C A 00il�f115 S l l C X L nl
Property Tax ID q• Lot No.
Site Plan Name: Block No.
Project Name:
J'ETr EN a;E CRIPl'.*'
j24.✓rGt-4 c2L(2—t/l my L044 '�j- "r"g
31 s1-0/V / If 59 s /0 K&v
New Electrical Meter Second Electrical Meter
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: Sq. Ft. of First Floor:
Cost of Construction: $ 2W Utilities: —Sewer _Septic Building Height:
ON ERL� EE
Name r4- 40914 1- , / VA -1-Z/5 Name: 94vin I j-- . 5'
Address: r/S/O c/ZOok-fi7 57i C h Z I'v Company: D J
City: 1'7" 5T C y e l£ State:Z:7L Address: ;Z 57j;, 5,v,, Or/x Del 1&e ly- /Fd/F
Zip code: 3 9 57k4- Fax: City:,PT-. 57, L ye l f State:_
Fr-
Phone No.7/S - 710 - 0 71/O Zip Code: 3 YFe 3 Fax:
E-Mail: ;p/v eo. p)r/on /N4 C&EV-1 4�G� z Phone No -2,2 8) - /
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Fill in fee simple Title Holder on next page ( if different E-Mail419je1JeCO. D, rrOA111V!-i- 5 e12V1ef
from the Owner listed above) State or County License
C c / /v82
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.