HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date-- n T" �^181� %S Permit Number.
RECER =p OCT 072015
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: (Y
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Address: 152.10 -10 Pim (',i V-. C,._
Legal Description: H01 idakI PEGS 3 b- PhC>SC 11-P3-W+ M2(_MCLP l3[12.S�C�b�-
Property Tax ID#: (366 —S Lot No.321cal
Site Plan Name: "` Block No. N
Project Name:
Setbacks Front Back: r Right Side: Left Side:
Lasfa,ll like C61- Ilke G� &or _ _f�j Li[,%
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�tiona wor' to a pe orme un er t is permit—c ec a t at app y:
—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:$ 2 7220 Utilities: —Sewer —Septic Building-Height:
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Name Do l i -I cis �tA� 54. Name:_ 4 naunn(,� LTAe
Address: 2-�t� ��P1reS D IE: Company: MM F-n$8fnrise oC &fyj Prec,sio�
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City: rori-1P- lt= _State:F[_ Address: I tab "Tom.'! ,,ok D/
Zip Code: 3LA51 Fax: WIN City: IrlAiCA 9411>0LI, QeaGh ' State:. Ff
Phone No. NtA J g s-14 1 o I Zip Code: 32N3 Fax: 3 Z1- 777-.y23c/
E-Mail: V11N Phone No. 772-337-yL/70
Fill in fee simple Title Holder on next page{if different E-Mail: va hog• c. ern 9
from the Owner listed above) State or County License: [
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.