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Date: SCANNED Permit Numb r•
CEOMD
BY
St. Lucie CountyIs JUL 2 5 2019
Building Permit Application
Planning and Development Services Permitting Department
Building and code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Renovation
P 1 Ear I 2aUE � gTill R 7
OCA7{ ► ,.'^ �4— 75 �u ,t ?� ., ' '.3 I . —& ,}�fs��t > d
Address: _ - - -
Legal Description:—�q
Property Tax ID #: �034 .5v I -00U2- 000 - I— Lot No.
Site Plan Name: ICI 11 1- y-CrnMAl- Block No.
Project Name: 1C>11 1 1- K-CvY-14;1f — --
Setbacks Front Back: _ Right Side: _ Left Side:
�t,�y
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a «�,�;�� r s •K >rve+es-� 'X`• ca'�,� :ad.
lct 1Nt;A T A �, ,, ix
itiona wor to e e orme under this permit- c ec a app y:
r
AC Ii GG s Tank ❑Gas Piping Shutters QWindows/Doors
ctric lJ Plumbing Sprinklers 1 Generator E]Roof Roof pitch
Total Sq. Ft of ConstructionsI:S Ft. of First Floor:
Cost of Construction: $ �`1� OOa utilities.
Sewer OSeptic Building Height: _
T UNER ;ESS'1 E IN x i
Y
Name Name: Justin Thiery
Addrelss:'�'SL�- Ock 226L�N Company: Island Kitchen and Bath
City \Q4�D,t� oQ 1'`�/1 Stat4f�' _ Address: 10875 S. Ocean Drive
Zip Code: �Q0Ji- Fax:, Cit'/: Jensen Beach State: FL
Phone No. "Lip Code: 34957 Fax:
E-Mail: LC' r�P.r-M'!> 0; y �5�� I Phone No. 772 678-8219 - 772-237-7348
Fill in fee simple Title Holder on ne Ixe•(page (if different E-Mail: jthieryikb@gmail.com; nblaszkaikb@gmail.com
from the Owner listed above) State or County License: CBC1259508 _
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.