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Building Permit Application
All APP_LICAB•E INFO MUST BE COMPLETED FOR.APPLICATION TO BE ACCEPTED (�c—� Date: v� f Permit Number: 0 ``� _ F l Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 / Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential !/ PERMITTYPE: . UNION—WN .i Address:K - �?3 ZII MEN c2� - Property Tax ID #: y�s' !�� -Wao`' O�O 7 Lot No. Site Plan Name: Block No. Project Name: I NINON K -- 3w.r"€ „=-c..as . M�. .3k:x3:. a3 k a&.- x - `zsg " �^G="- � ��'�-t� z-�"'i ny� � ��5 �.w ����3�'v yW A."5�� ..—x"•Y^"� .��i'���33�� .�� . 46 w* ? '�ir� vt` 3 �a3 ^� �Y-' s 'e"s� �"a�r�s �'z�� .`�`S•R�-�=�1-=��.,���� -..'�-��'$� a Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _ Gas Piping _Shutters —Windows/Doors _Electric Plumbing _Sprinklers Generator..." ;.—Rogf Pitch Total Sq. Ft of Construction: Sq. Ft.bf First Floor: Cost of Construction: $ ©D - oo Utilities: —Sewer _Septic Building Height: 3"'G3s � 3' 'f-: n'v'�+r.'h+'' a'� - g, e"fr gar'-. 5-.a'1'-.Zc 's�" OF- , •�z, _ saPTc�' _ Name R1cc T- e- ed>`D i Name: Address:�6� �/ cR r A f..S7- -Company': �* _.. " a .i State: Address:.,,, Cit -y: T 9 ��-J�51 i i s , �,;.nrIJYIIt;iIf:+:�t�;,'j.� State: Zip Code:5 4495'D— Fax: f:I Gity ,' 'D„laC;t?a,a,;. .... ,_ ,,;^:;;- 1,'> - 7c. :7t��cv7::g;-.- �a: Phone No. E-Mail: 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. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.