HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j
Date: Cv ' Permit Number: l
Building Permit Application APR 10 2617
Planning and Development Services
Building and Code Regulation Division PERMITTIiyu
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie C$Xty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential VV
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: Z47-0 I4AR50VIZ Co VG- Pitt V E F-r. PiE'ae6 -FL 3Lm Lf 'I
Legal Description: CotzAL_ covt; isc-pGN - s r.anory orve- 'r►+A'T PRKT oi= TRi4GT B Ar-A-
44RDovXeoVE UM IT P M12150c , CorNM kT Arr Op- c1— 13imiy% DR fl-1VQ IV 1-i o
Property Tax I D#: I`-125--! 70 f -o o ILI —a S blp Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION-OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit-check all that apply:
11HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 7t st7o Utilities:cn Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name FRANK. "c(ZAMC141WX Name:
Address: %tI2D AAA$0UX 01/& DR)V& Company:
City:V-4-, !F'6 z& State:P` Address:
Zip Code: 3'•1961 I Fax: City: State:
Phone No. 110*7- 9y'1 - y75'? Zip Code: Fax:
E-Mail: P4-rAne_MJIA��jr_ com 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.