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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u Date: q ti /;I Permit Number: 0�1�� CA 1 RECEIVED I Building Permit Application APR 19 2011 tanning and Development Services f armytkr.g Department Lucie County Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-1578 f I PERMIT APPLICATION FOR: PRC�7POSED IMi ROVEM'ENT GICATIQN:Address: N S J e i C1 c, P' F L 1 y S Property Tax ID#: so l Lot No. 3 y Site Plan Name: Block No. Project Name: I � DETAIiLED DE=�SCFtIF, IT,IQN OF WORK: / c'x ' Co/IC/C�L S1 CL 1, +iC ?n J 0190 W Ar,�Je.� a '` x fa &ofc• Lj a �#5' (20n (Auos New Electrical Meter Second Electrical Meter CONSTRUCTIQ.�N INIFCIRMATI©N: Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _ Pond Electric _Plumbing Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: -3,19 D 0 Sq. Ft. of First Floor: Cost of Construction: $ (Of 'OVID Utilities: _Sewer Zeptic Building Height: ©WNEI StiS 2£: CONTRAC7°C}R: I Name I L (_A Name: ` Sl-P Confine fie- (onSfru Gf/cam Inc. Address Company: JoS clggc4o City: bf I crc r State:f Address: 3a0 5 Cc f c -8 v d . Zip Code: �N�M. 5 Fax: City: - Pf, State: 'L Phone No. ?7"} 11�` aC�� _ Zip.Code: .31118 ( Fax: E-Mail: Phone No' -12 6 7 elf 16 Fill in fee simple Title Holder on next page (if different E-Mailer Q �5�60 71 ,�"�4'l . Cove from the Owner listed above) State or County License Coun}7 C«t- # 319-1OB If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.