HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE•INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 202- Permit Number:
• RECEIVED
Building Permit Application SEP 3 0 2021
Planning and Development Services
Building and Code Regulation Division 1; io q-ounty
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2300 Virginia Avenue,Fort Pierce FL 34982 xl4;r.
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: Jr el`Zdl - r �� ��ce-
Legal Description: rroQ�'''�z love lge� /_071 3 y
C v.-.2�2 -25M --l06�
Property Tax ID#: &2S> ,2 - 6,2 3 —00 Lot No. 31
Site Plan Name: if2uv2 ``�� Dv r S� iy / Block No.
Project Name: 41"q.4 a fi
Setbacks Front Back: Right Side: Left Side:
A'P&'o�Y /f�`ny ~/a'�y/e V-- l-1 e�`r
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Additional work to e performed- under this permit-check all apply:
11HVAC 0 Gas.Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric 0 _Plumbing Sprinklers Generator 1=1 Roof Roof pitch
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ Vlo Utilities: Sewer Septic Building Height:
Name lvlzlllG=6v IRV `•
Address: .7-S`/� j e✓'1��t�z �l��,�✓; _ Company: :511./ e
City: �t�, Aiei"- State: Address: ? ' G l l 2
Zip Code: 341�KZc� Fax: City:--``( ���r State: IL'L
-Phone No. 72z` q79-- 123 Zip Code: 3YZZL Fax:
E-Mail: Phone No. Z7 2 — 2_01—g46Y
Fill inlee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: C Re GAS'!G6
If value of construction is$2500 or more,a RECORDED Notice of Commencement isuired.
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