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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR. APPL ICATION TO BE ACCEPTED Date: 1s' - LI q Permit Number: (T OS + SCANNED NNED By BUild! AdOffilAlkiMpplication Planning and Development Services Building and Code Regulation Division .MAR 15: 2018 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: - �^ PROPOSED IMPR'01/E'C�O�N°r<'r°h' ' Address: �-f/ Vi O� t �IiCt' S Legal Description: % 6,ke w o d S_ pA4�' k - (J E�b i T [6 - a (C 1 Z3 40 7 Property Tax ID #: 13 d 6 ( Z - 0 1 Z4_ 0 0'0 '" 6 Lot No. Site Plan Name: h V1 & CC.r/t (0 Block No.1 Z 3 Project Name: c c,6 c.0 Setbacks Front Back: Right SI ide: Left Side: r - ir�„ ,:- s.`-°i"�t DETAILER OE6SCR4"I? O h1 I}ORKI ,�..�....: r.� ,.e v.-,�`ielSx.�rk'kxa,. i..`•`vGi,,. a_�vr97.Yz v a�a.�.^i;�-c�y w© r k CCONST,R a INN IIaFb .ii ACIditional work o be performed under this permit— Check a ap y: �HVAC ((--,I�-Gas Tank []Gas Piping _l. . Shutters ❑Windows/Doors Electric Mumbing Sprinklers ElGenerator F, Roof Total Sq. Ft of Construction: J 4' S . Ft of First Floor: Cost of Construction: $ ,Z Utilities:Sewer Septic Building Height: OWNER/EE'SSE`y7 O Y Name O Namee' Peter A Cafaro III Address: 700 q Sa ey 1, o Company: Lowes Home Centers, LLC City: IL'Nc-0— State: Address: P•O Box 781993 Zip Code: 3 qs I Fax: City; Orlando State: FL Phone No. 7 7 Z'Sw 3 (bO I Zip Code: 32878-1993 Fax: E-Mail: Phone No. 3Z CP3 Fill in fee simple Title Holder -on next page ( if different E-Mail: 64ko •CUyvl from the Owner listed above) State or County License: CGC1508417 It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.