HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��rr�� // ^^
Date: il�..' f C� �� C% SCANNED Permit Number: '"((���(D- (Or
BY QFc
4:11St. Lucie Countv na
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Building Permit Application°90 f �10,�
Planning and Development Services - �e oAa r
Building and Code Regulation Division �n
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
Address:
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name: xr r^cs 11129- 01
DETAILED DESCRIPTION OF WORK:
iM
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply::
_Mechanical —Gas Tank Gas Piping —Shutters
_Electric. _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Lost of Construction: $ _ -2-O; a-�&
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/.LESSEE; ' , ,
CDNTRACTOR ` ` ;...
Name
f-r A �c rrL65
o'er
Name: O n•
Address: 2-07 GW Y an 2-
Company: / of 2 f° /,-V %
City: cry I2rCl' State:.. L
Zip Code: Fax:
Phone No.
Address:1 44, S --Ssaw cr .+r1
City: ShAA-� State:fil
Zip Code: SM7 Fax:
Phone No �&1 373 97w&
E-Mail z1 [f a S /Uco
E-Mail:
Fill in fee simple Title Holder on. next page (if different
from the Owner listed above)
State or County License 8
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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