HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO UST BE COMPLETED FOR A -'_'-c TION TO BE ACCEPTED
Date: S �/P7
yy Permit Nur iber- 0 a �°
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BUIid1AicI �ounr A .Vit Planning and DevelopmertServices �Er pplicatio MAY 08 2018
Building and Code Regulation Division
2300VirginiaAvenue, For' tPierce FL34982 Permitting Department
Phone: (772) 462-1553I Fax: (772) 4 2-1578 Commercial S • Lucie Co ty, FL
PERMIT APPLICATION FOR: �—
To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: 6at &"'L'
Address:
w L 64 S• �- L v? 9�� Legal Description: }Gr0 At e.1 c
Property Tax ID #:
Site Plan Name: Lot No
Project Name: Otn�S Block No.
Setbacks Front_
G I Back: 10 Right Side: (px Left Side: 3�
DETAILED�DEk�RIPTio.F WORK:
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CONSTRUCTION INFORMATION;.
itiona wor to e e °
G rme un . er t is permit — c ec a
IJHVAC _ as Tank app y�
QGas Piping _,Shutters (�
Ellectric 11 Windows/Doors
0 Plumbing 'Sprinklers
Total Sq. Ft of Cgnstruction: Generator Roof
Roof pitch
S . Ft. of First Floor:
Cost of Cons . " 6: r
Utilities: OWSewer Septic Building Height:
NER/LESSEE . 5
Name
CONTRACTOR:
Address: �(�Q) �Ql�(14Q C Name:
City: ���Vi G Company: _ECr�t[1 Pc r
3 I State: N'G 32,3� f ZIP Code: 3.3 3 Address:
I Fax: 772— I1F') - ?y, "W
Phone No. City: �,w State
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: �G
E-Mail: Zip Code: .3r94 7 Fax:
Phone No. 72- 2i'7 130
Fill in fee simple Title Holder on next page (if different
from the Owner listed above) E-Mail: (*% .
State or County icense:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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