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HomeMy WebLinkAboutBuilding Permit ApplicationJ All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Z10 C — by l5s 9-n L' i CLr- RECEIVED 41, APR 2 € 7071 P 44n ° c t Building Permit Application Formitklnq r,apartment Planning and Development Services St. LuciQ ' unty 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 IMPROVEMENT LOCATION: Address: (PSA T tk4w fb_e✓ j*. Fr. Property Tax ID #: �`l Z ' S�'t ��l (�iiC/ — oaLot No. J Site Plan Name: Block No. Project Name: Perth &W-rh DETAILED DESCRIPTION OF WORK: �sf` New Electrical Meter Second Electrical Meter 1—CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters )C Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator k Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ /(y'Z7,S . Q?Q Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name (Ww3bawn Address: (O2Dl S TadlcYt [LIf Dr- Name: 51 a4e,( Car, _ f Vt4 �j' di Company: City: CT. Pl ft-Ct State: PL- Zip Code: !'L Fax: Phone No. Address: �(65?�re/J`� City:y ey]) geach Stater Zip Code: '5206-7 Fax: Phone No %M`766 • % f'/yZ E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail � d4 © 56w 6W5*kCk6+1 U 6-cy l State or County License CGG J.S? &3°1 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. .,. ti � �k 4 y. �r .. .,p .y .. .. . �.. .. ,w