HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONf�.
ALL APPLICABLE INFO MUST BE CO PLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 ef SCANNED Permit Number: O�I ' gag(�
BY
St, Lucie County
II Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I
Address:
Legal
Property Tax ID #:J�
Site Plan Name:
Project Name:rr
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.,
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lN� 11 CXIe 2..0 Tu`s 15 ,fir (2YICei0
WrWI 5ttA-D + �- 44O^ r:Ye,D�1
AaRHVAC
rim worK10 A errormea
Gas Tank
11 Electric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
Gas Piping _ Shutters ❑ Windows/Doors
0 Sprinklers Generator Roof
S Ft. of First Floor:
Utilities:cn Sewer USeptic
Building Height:
Na Name:
AA
Address:"4� State: tAddress.
ompan City:
Zip Coder !E�> .Fax: 0E _v State:
Phone No. Q . Zip Code Fax• "�i'
r hone No.
Fill in fee simple Title Holder on next page (if different E-Mail: nu
from the Owner listed above) State County Licens�
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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