HomeMy WebLinkAboutWilliams PV Permit AppAll APPUCA13LE i MUST BE COMPLETED FORAPMiff-JITrA TO' # I �''
Permit
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4624578
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Property Tax lD JP' D a
Site Plan Name:
Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
ReSidentiai,.,
Lot No.
81ock No.
_Mechanical _Gas Tank _Gas Piping _Shutters _ windows/Doors _Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: ? i
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Zip Code:,`5ll�-tt�-9 � )
mail- K ) 17L
Sq. Ft. of First Floor.
Utilities: Sewer _Septic Building Height:
Address:
Zip Coder
Phone No
Mail R
State or County License
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Siate:�
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DESIGNER, NGI
E Not Applicable
RAORTGAGE COIIA�AIYII':
: Not Applicable
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Name: A)C
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Name:
Address:
Address:
City:
State:
City:
State:
Zip:
Phone
Zip: Phone:
FEE SIMPLE WLE
HOLDER. Not Applicable
BONDING COMPANY.
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip:
Phone:
Zip; Phone:
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In consideration of the granting of this requested permit; [ do hereby agree that I will, in all respetts, perform the work
in accordance with the approved plans, the Florida Building Codes and St Lucie County Amendments.
The following building permit applications are exemptfrom undergoing a full concurrency review. room additions,
accessory structures, swimming pools, fences, wally signs, screen rooms and accessory uses to another non-residential use
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to (or affirmed) and subscribed before me of
Phgl Presence or Online Notarization
this day of ,i 20* by
Name of person making statement.
Personally Known OR Produced Identification
Type of . {.
COMPLETED
rsonally Known OR Produced Identificati
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