HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i Permit Number: 15J1- 12Mq
RECEIVED
BUilding Permit ApplicationNOV'- 2 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginla Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential L--<
PERMIT APPLICATION FOR: To Select from dropbOX, click arrow at the end of line
Address:-L� Lona Cow
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Legal Description: M" :e y uLoA&4i o
Property Tax ID#: Lot No
Site Plan Name, Block No,
Project Name. F-r a nc.i S
Setbacks Front Back: Right Side- Left Side:
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A001tiono lworktoperlerform a undert iserrait,-cbeckall app y:
WHVAC Gas Tank Gas Piping MShutters L]Windows/Doors
0E lectric Plumbing OSprinklers F�Generator 11Roof
Total Sq.Ft of Construction: Sq. Ft.of First(
irst Floor:
Cost of.Construction:$ Utilities:F�Sewer Eleptic Building Height:
Name
e Name:24a� Li ndc�rom
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Address-- aye Company,- U-od&r= Ai r Cnrse4 i-Ko n
City: Addrpq,;- - i W, MCM(aub- 1Z
Zip Code: t- Fax: Citpn n Deocb State
Phone No. Zip Code:, Fax:
E-Mail: Phone No.
Fill In fee simple Title Holder on next page if different E-Mail; -C�cco I el CJ k 106'CAMIx-Air- C—C)
from the owner listed above) State or County License,cemlsto-q:z
if value of construction is$2500 or more,a RECORDED Notice of commencement is required.