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Building Permit Application
Dec 15 20, 12:59p P.I All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �L Permit Number: 1 -L � y :E Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 f Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential. PERMITTYPE: Address: 7 © s s L Property Tax lD#: 3a/ Ef r.5 ZZ—O_ 1 b L1_0e)0-3 Lot No. Site Plan Name: Block No. Project Name. 1 Additional work to be performed under this permit-check all that apply: / T-Mechanical _.Gas Tank _Gas Piping _ Shutters r'Windows/Doors Electric _Plumbing Sprinklers Generator _Roof Pitch Total Sq. Ft of Construction: Sq."Ft.of First Floor, Cost of Construction:$ .' Utilities: Sewer Septic Building Height: Name Name Address: b Company: _City: State: Address: Zip Code: L' 2 l Fax: City: Phone No. Zip Code: 3 S?_ Fax: E-Mail: Phone No - .Fill in fee simple Title Holder on next page(if different E-Mailjpoc - from the Owner listed above) State or County L cense If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. i