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ALL APPLICABLE INFO MUST BE COMPLPFOR APPLICATION TO BE ACCEPTED (� ��`��,�
Date: .s Permit Number: V
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Building Permit Application RECEIVED
Planning and Development Services SEP 2 12017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 PERMITTING
Phone:(772)462-1553 Fax:(772)462-1578 Commercial ResidentiZflt-Xucie County, FL
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:.
Address: 3609 Red Tailed Hawk Dr. Port Saint Lucie, FL. 34952
Legal Description:FAIRWAYS AT SAVANNA CLUB REPLAT NO. 1 (PB 67-40) BLK 70 LOT 31(OR 2833-468)
Property Tax ID#: 3424-800-0101-000-5 Lot No.
Site Plan Name: Block No..
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
AFTER THE FACT PERMIT (Tore off existing shingle roof and installed 30 year architectural shingles)
CONSTRUCTION INFORMATION:
Additional work to b
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orme un ert ispermit—c ec a t a appy:
E1HVAC ❑Gas Piping _Shutters Windows/Doors
Electric ®Plumbing Sprinklers E]Generator FV]Roof
Total Sq.Ft of Construction: 3,004 S Ft.of First Floor:
Cost of Construction:$ 1,600.00 Utilities Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR: .
Name Micheline Fifle Name:Ronald Latta
Address: 3609 Red Tailed'Hawk Dr Company: Treasure Coast Concepts Inc.
City: Port Saint Lucie State: FL Address: 3458 SW Pluto St
Zip Code: 34952 Fax: City: Port Saint Lucie State:FL
Phone No. 801-9187 Zip Code: 34953 Fax: 772-905-4910
E-Mail: Phone No. 772-777-8130
Fill in fee simple Title Holderion next page(if different E-Mail: tcconcep%@aol.com
from the Owner listed above) State or County License: CCC1330362
If value of construction is$2506.or more,a RECORDED Notice of Commencement is required.
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