HomeMy WebLinkAboutCorrected Permit Application ALL APPUWLFINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:,-15 (3 0 G
RECEIVIED MAT 0 6 205
Planning and Development Services Building Permit Application t5.30
euilcling and Code Regufation Division
2300 Virginia Avenve,Fort Pierce FL 34982
Phone?(772)462-1553 Fax-(772)462-3578 Cornmerdial Residential X
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Legal Description: V— t
Property Tax ID Lot No.
Site Plan Name Block No.
Project Name
Setbacks Front-,-. Back:_111;iht side: Left Side:
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LIKE FOR LIKE A/C CMANGEOUT-NO DUCT WORK
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51
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AO-CIMA-Wli— kidbe-:%"efformed
shutters
KVAC OGasTank E]Ga�Piping ap Y* []Windows/Doors
[]Electric Plumbing [:]Sprinklers Generator Olkoof
Total Sq.Ft of Construction: Sq,Ft.of First Floor,
Cog of Construction:$ 3!i�" Utilities:USewerliseptic Building Height:
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Name lblj�.ck v
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Address: ki
city; state!
Zip Codel Fax:
Phone No,
Fill In fee simple Title Holder an next Pap(If different
ftom the Owner listed above)
if value of conit-ir—uction is$2900 or more,a RECOR NNotl;e of Commencerniant is required.