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BUILDING PERMIT APPLICATION 9-6-18
ALL APPLICABLE INFO MUST BECOMPLETEDF&AVg J C Date. BY St Lucie County ra Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1.578 Commerciql IcB,A4-b8210 ®AEP 6 - 2018 PERMIT APPLICATION FOR: To Select from dropbox, lick arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 7210 SHANAS TRAIL PORT SAINT LUCIE FL 34952 Legal Description: 6r Aq 34 `r9 Rt�< 2 N 1&5 F7'0F PV t/.� or::' Lo- t.:t4,JtP dJ-,'A4-rat Property Tax ID #: 3414-501-1009-250-5 Site Plan Name: Project Name:%" Setbacks Front ���j Back: t%1 Right Side:LeftSide: 2.5,1 C Lot No. Block No. DETAILED DESCRIPTION OF WORK: rnts�r L t XYV X 44 OP6r+f 67{LEE�.'L.t)l ot`�1 �j fZ.a IVD 6� (I-) I- e a n i-e 12 Y, 21 7 4-o y -� I CV1 i-b 4+i e. I'a �'2! 12, open 5� e�1 � I c4 f e1 r� CONSTRUCTION IWORMATION: Add itiona I wor<to be pe rtorme un er th is permit — check a apply: HVAC F]Gas Tank Gas Piping _ Shutters L__I Windows/Doors CI Electric 0 Plumbing []Sprinkrn lers LJ Generator F]Roof Roof pitch Total Sq. Ft of Construction: S . Ft� of First Floor: Cost of Construction: $' 3-3 9, 0 Utilities: L 'I Sewer ❑_Septic Building Height: I OWN=ER/LESSEE: COiVTRACTOR: Name 7���'`li "i"-j Name: Com Add City: Zip Pho E-M Stag cl4 M S <. Addres� ��t i� .p-� �°�-�i y�-. ;� �� ��-'l 1..- C' P-Po 5.4tlYt ' pay; : .�}' ess: ''0 SOX -776 City: ' i 'pl �ou), vE State: 1, "'l Zip Code: `:� 8 �� ' Fax: Phone No. -? ` { r eSZFh`r-K State: Fi- ode: 3 Z©9 t Fax: 362 e No. /1! b E-Mail: _ __-. Fall in fee simple Title Bolder on next page { if different from the Owner listed above) il: J8P6 ✓V 5F1-P C7104tL,, COA-1 or County License: C,5C-/2-SJ99 9' if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.