HomeMy WebLinkAboutBuilding Permit Application 05/22/2015 12:32 7725719878 CUSTOM A1R PAGE 01
,PPLICABLE INFO MUST BE COMPLETED FOR APPLICATIONTO BE ACCEPTED
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Date: X51 A115 Permit Number: \ 5
MAY 22 ,
Building Permit Application
Planning and Development Services
Building Bund Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 /
Phone:(772)462-•1553 Fax: (772)467-1578 Commercial � Residential
PERMIT APPLICATION FOR:
Address: 13 45 4 FO rz a 1
Legal Description:— -.._-- - --
Property Tax ID#: X30 /-&-7 ODS-!5 Lot No.
Site Plan Name:_ Block No.
Project Name:
Setbacks Front .__.. Back: Right Side: Left Side.
Additional work toapeWorme under this permit-Check all that appy:
,Mechanical _Gas Tank Gas Piping Shutters Windows/Doors
—Electric —Plumbing ,Sprinklers _Generator _Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: —Sewer —Septic Building Height:.
Name—,'60.0/u'..f0 e Name: LFUrLt$ ScL._Vn_M,o-►1_j
Address: o Company: ru5Tbm , Air Su sfe ms )!u c_
City: m27! 69t-�„_ State: F4 Address: l(Q l5 S `y i i 1ra�G ren �r
Zip Code: Fax:- _ _ _--- City: PO P-7 T LzcC�� - State:_ ,-
Phone No. �r� ��, _ zip Code: _L qz Fax: ' 72 33.5
E-Mail: „ „_. Phone No. 77.2 335,-3a32
Fill in fee simple Title Holder on next page(if different F-Mail: (LastciIr s G r{ p_ c.o).r,CIA _
from the Owner listed above) State or County License: CA C o f)810 • She ___r___
if value of construction is25eTor more,a RECORDED Notice of Commencement is required.
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05/22/2015 12~32 7725719878 CUSTOM