HomeMy WebLinkAboutBuilding Permit Application0
I
E ACCEPTED
Permit Numbe'rq.
Building Permit Application
r OPU�MOVf11�ENT A.
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Add ess: L I 5 C� A&
Leg Description:
0
Commercia
Property Tax ID #:
Sitean Name:
PrOjt Name:
Seticks Front Back:
Right Side: Left Side:
ILED DESCRIPTION O'F
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SFw4E 1146 4�
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*N INFORMATION*
ACICI bona worto-be Pe'-r-Forme un er this Perm-
i�� c ec atnata
Mechanical pp y'
_Gas Tank Gas Pipfng � 5huttersi
Electric � Plumbing � Sprinklers Generator
TotalT
q. Ft of Construction: Sq. Ft. of First Floorw ,�
COst Construction: q 0 Kl� ("�
Mft-M Utilities: � Sewer mq_� Septic
Residential
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Na e ihil il�D�e
Addless:.LL5C 17_jn qor4 rr4
City:. ,P rC.P
State-: L
Zip ode: Fax:
Pho e No., MEMO=
E-M il-o CA
Fill 11 fee simple Title Holder on nex page if different
fro the Owner listed above)
All PPLICABLE I FO MUST BE COMPLETED FOR APPLICATIO
Dgeo
1\ I -)I?, i
P� Ing and Development Servkes
8 fding and Code RegUlation Division
223 V1r91n /a Avenue, Fort Fierce FL 34qS2
P ne: (772) 462-1553 Fax: (772) 462-1578
PqRMIT APPLICATION FOR
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dame: d
Company: 7?/0% �S
Address: 91;TW. �
City: JO-Q T3e4e,
Tip bode: 32 W
Phone No. 72 -
E-Mail
., �4
I T State or Jaunty License
If Veiu of construction is 2$00or mare, a RECORDED Notice of Commencement is re u
q iced.
L(Yt No.
Blpck No.
..,,,-.. Wind
Roof
Building Height:
0,1041
4
ft
w* lk&4
(A
1
7
Pitch