HomeMy WebLinkAbout1308-0399-BUILDING PERMIT APPLICATIONOFFIC USE O_ N_ _L_Y: -
DATE 1LED:
PLAN VIEW FEE: RECEIPT NO.: PERMIT NUMBER: �1309 03
CONC NCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE'COMPLE'tE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
SCANNED Ft. Pierce, FL 34982-5652
[BY 772-462-1553
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APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT I/N�FORMATION
1. LOCATION/SITE ADDRESS: ,-AU7e k 4a
2. PROJECT NAME: SITE PLAN NAME:
3. PROPERTY TAX ID #:
4. LEGAL DESCRIPTION (attach extra sheets if necessary):
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS:
10. II COMPLETE DESCRIPTION OF
PROJECT OR WORK ACTIVITY:
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE: J
14. II SQ. FT OF CONSTRUCTION: 15. SF. FT Ist FLOORir
16. VALUE OF CONSTRUCTION: $ 119,000
The va a of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated
value construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a
REC )t Notice of Commencement must be submitted with this application.
SLC Form No.: 001-02 1
UPDATED 6/25/09
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