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HomeMy WebLinkAboutBuilding permit app pg 1 001ALL APPUCABL INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: It Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 23DO Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: l h /Jf C H P, Property Tax ID#: 7,3U-2t� Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK U�� Apr like J�5-wf yu FUUD 3 -Ian 1456C1, Afc pac(cajz� mli iui\ 10Ku1 L�IHVAC L _JGasTank }_JGa5 11Electric 0 Plumbing ]Spr Total Sq. Ft of Construction: Cost of Construction: $ 3?00, ©Q rt-cecatl Piping Windows/Doors !rs " Generator L_J Roof S Ft. of First Floor: _ Utilities: oSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name S C • Name: Address: ��5} (�- Company:ilsl_1tt_4�ifl( lllYrAtfjdVl��dliA�'-� CIPIIIQ A. City: 6 (�L� State: Zip Code: ,�30(aq Fax: Phone No. 'iZT m. - ek AI,111 mn 31S Address:5io� h TUm( f *,J4 r —FyL City: fb(-& Rtrce/ State: E✓C Zip Code: SOS ` II Fax: ??dl-- Lk— Phone (-4(4_I E-Mail: S o3 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: pay 1t1+ haa. OA (Yl /to State or County License: CA-C I$ I,318 (D .a. _ ,•,.. . „•. m?coou ug mare, d nca.unucu wooce or Commencement 19 required.