HomeMy WebLinkAboutBuilding Permit Application 10/05/2015 16:11 7724662417 SEACOAST SHEET METAL PAGE 02
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO-BE ACCEPTED
Date: Permit Number: I NO — on lu
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Fk 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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Address:
Legal Description:
Property Tax ID#• 3410-508-0273-000-1 Lot No,
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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orme un er !s permit—c eC HVAC Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq, Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4583.00 UtilitiesSewer Septic Building Height:
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Name JOSEPH LIEeL Name: JOHN V LANGE>_
Address:381 SEAHORSE TER Company: SEACOAST AIG
City: FORT PIERCE State: Address• 2601 INDUSTRIAL AVE 3
Zip Code: 34982 Fax: City; FORT PIERCE State:FL
Phone No,772579-6681 Zip Code: 34946 Fax. 7724663053
E-Mail: Phone No, 7724662400 _
FIII in fae simple Title Holder on next page(if different E-Mail: TLSEACOASTAIR@AOL.COM
from the Owner listed above) State or County License: CAC016446
Ifjalue of construction is$2500 or more,a RECORDED Notice of Commencernent Is required. T
10/05/20I5 . lG�ll 7724662417 SEACOAST SHEET METAL PAGE 03