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BUILDING PERMIT APPLICATION
Z �v J1 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: k�� L RECEIVED AUG 2 6 2021 Building Permit Application St.Lucie l ii Planning and Development Services Permitti Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772) 462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: PROPOSED I'MPROV-EM:ENT LOCATI:OW _ Address: �/� � �� � �'S i q �2 • 1'n.�' ���L� � :. -, 6 8 Property Tax I D#: S 102 t�l ©��I 0 �U'0 — Lot No.� Site Plan Name: Block No. 8 Project Name: DETAILED DESCRIPTIWOF WORK: r1 q � 13� ✓� 4,y c. eui c. 3 Q(3O Si New Electrical Meter Second Electrical Meter CONSTRUCTION.INFORMATIGN 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: 1_ Sq. Ft. of First Floor: Cost of Construction: Utilities: —Sewer _Septic Building Height: ..WINNER/LESSEE: - _ -CONTRACTOR:' Name e-Q 'G Name: mo, _b Address: Company: 4-Wfz,G' City: oZez,nf State: Address: 16 9 S a) Win` un� i Zip Code: TJ �J 9A Z Fax: City: �o� � �cJC,C State:, . Phone No. 7// , O� Zip Code: 3 c/q �3�/ Fax: E-Mail: /— lJ . Phone No Fill in fee simple Title Holder on next page(if different E-Mail 1-1' a,t from the Owner listed above) State or County License UG 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.