HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1��I Permit Number:
RECEIV D
DEC 17 2015
m Building Permit Application
PERWTTING
Planning and Development Services St. Lucie County,FL
Building and Code Regulation Division /
2300 Virginia Avenue,Fort Pierce FL 34982v/
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:
Address: � �`'l
Legal Description: I 1 H K! woo
��
37 33 -d
PropertyTaxlD#: 130) - Lot No.
Block No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
17 7k
M
itiona wor to a pe orme4un 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: $ U Utilities: _Sewer _Septic Building Height:
�.,
.5 t .
Name
• Name: � W
Address: G P6 t I V Company:
city: FT If 12 C ti 1'" L State:_ Address:
Zip Code: c3 �9.5;-/ Fax: A( (� City: State:
Phone No. 7Sy 22,Y-42 11 Zip Code: Fax:
E-Mail: 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.