HomeMy WebLinkAboutSPECIALTY PERMIT APPLICATIONDate: Fee Due: Receipt permit =
Planning & Development Services SCANNED
S I ( I Buildin, & Code Regulations Di -vision BY
9 - Virginia Ave. St. Lucie County
— Fort
Pierce. FL 3,93-
SPECI:M/
T ER -MIT 3PPLIC_-�TION
❑ Electrical ❑ Plumbing �C ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Sidin2
seep,,, ?for instructions and addinonai paper Nor.. required for >pecimry permits
I. Location/Site Adtim
2. Parcel ID Number:
3.
4. Owners � m•�jo /�, j� �. Contractors Information
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Address: \ {> County Cert-7: (JJ103
City: �K, Scatey�{ �'"� Q��� \max/ Businngs�s(Name:
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6. Y'alue of Construction: 5 Me)
OWNER'S AFFIDAVIT; l all Of the in bm. aticn _on Inein chi 3 FO
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NOTICE'TO OWNER FAILURE TO RECORD a NOTICE OF COMMENCEMENT MAY RESULT IN YOUR ?aYING T`VICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANC NG. CONSULT WITH YOLR
LENDER.OR.AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EYEYIPT: �C-HEATREPLACEMENT''H, CDNTRaCT UNDER ST500.00
C_�
311-W�5
Date: Fee Due: R:Lei0TF Permit
Plannim� & Deveiopm<at Servic.:
)3uildina & Code Rc}ulanons Division
2304) 4"ir•;inia Ave•
For! Fierce. FL 3-9S:
SPECL�LT ERNIIT -APPLICATION
El ElPiumbina ,C ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Sidins
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?. Nrcel ID Number:
Cunrracturs Iniurmation /1
FL Rey Cert ;: CtLCG
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OWNER'S �F'FtDAVM 1
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