HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �,��' ��_ Permit Number:
DEC2015
Building Permit Application 1 6
PERFdI ITTING
Planning and Development Services St.Lucie County,FL
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:
Address. 71 7 0 e6wa-
Legal Description:
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Property Tax ID#: f X133 c)- c-63- r;"`'/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: I Sr r Right Side: 1 Left Side:
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, Z,rtiona wor to a pe orme un permit c ec a that apply:
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:
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Name % �� "1 ivt•o LIG, Name: 0-1ri-V,
Address:
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City: Fr' e0t e'✓r-4 State:�4- Address: 331 ✓�Ud/ IX Z>
Zip Code: ','1%'44 Fax: 77¢ -`!61 141 City: �r-t PVA4.1, State:J!--?
Phone No. 7T7 N6/ I J�7 Zip Code: �Qs9�� Fax: �6l��d��
E-Mail: �C��f ���h^I�G G 251 .v� Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.