HomeMy WebLinkAboutAPPLICATION FOR BUILDING PERMIT�1.
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OFFICE LTSE,OIJLY: ' BY
DATE FILED ✓ RECEIPT NO.:`rtT NUMBER: ) Vi
PLAN REVIEW FEE' CONCURRENCY FEE: RECEIPT NO.: CERT. C. AP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE, ACCEPTED
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St. Lucie County _Building and Zoning
2300 Virginia Avenue
ORl Ft. Pierce,''FL 34992-5(52
772-4624553
APPLICATION , for. BUILDING PERMIT
CERTIFtCATE� of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS:' X/OIZTff IViE�vT GQl2�lF/2 Ors J� #Wy2. `�'��
2. SIDNANIE: % L�%C%� SITE.PLANNAME: !� 8 s Xee ve p
3. PROPERTY TAX ID #:. ��i/� ✓��/�/g// =SOD - vi �� �.oti
4. LEGAL DESCRIPTION (attach extra sheets if necessary)::.
6. PAGE 7. BLOCK-
-8. Ld`T
5. PLAT / PA 2 NO.
BOOK-.
9. - -PARCEL SIZE: ACRES/SQ FT: / a �� LOT DISIONS.
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10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: MF(�(%� /4!10," 7W0c IKM
n �. o r /J �lif//J t/ /�.�%.� //�i%.ii 'Ti� %3l �/�LC.. Y' WV � � �iFl/`�F•�
RIGHT: LEFT:
11. SETBACKS (ACTUAL) FRONT: BACK: �8 / IDE 9? SIDE
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ RESIDENTIAL LAY COMMERCIAL L ] INDUSTRIAL '
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
14. Sq. Ft./CONSTRUCTION: As. Sq. Ft. 1 st Floor: �% po 0
16. VALUE OF CONSTRUCTION:
The value of construction is used to determine the'amount of pemut fees to be. assessed. St. Lucie County o ri! av q f the�iva�ue is 52500 or mooimodifY the re, ad
value of construction if it is demonstrated that the submitted figures are not consistent with similar types
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02