HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: CO' SCANNED Permit Number:
BY
St, Lucie County
RECEIVED
Building Permit Application
Planning and Development Services J U N 2 5 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST, Luck County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
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Legal Description: 'AL1C 2) L- Vnl yq -4
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Property Tax ID #: S1p2 - („D 3 - D-7 D2- ow - 7 Lot No.
Site Plan Name: Block No. ?_
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Additional work to be nertormed under this permit - check all apply:
F1HVAC Ii Gas Tank []Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof (0 1 `L. Roof pitch
Total Sq. Ft of Construction: L� �(�c Sq. Ft. of First Floor: La 5
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Cost of Construction: $ SDI_) Utilities: Sewer Septic Building Height:
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Name �.� iAm Cr;ww
Name: a,1-baCA \L
Address: y"ID Si�y0r C�� IL �l'� VC
Company: LAY ��l.�XS 1�11_r>��.f�C
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City:— 17 State: L
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Address: %lad I
City: State:"E L
Zip Code: ?_,L1QgZ Fax:
' Phone No. "�LI
Zip Code: �)LA% Fax:`��'Z-2C�t-f-( .
E-Mail:
Phone No.
Fill in fee simple Title Holder on next page ( if different
E-Mail:
(i
I from the Owner listed above)
State or County License: 0_CCCy1 1 9:3('
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.