HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED w
Date:I-) Permit Number:
RECEIVED
N . w ,Wµ- Building Permit Application DEC 2 2 2015
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION
Legal Description: 15 LAaf---) i&t AGAUc L)
Property Tax ID#: s:_0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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_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:
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Name Ots—r lr'L�s r stlsv�p rx�L Name: � �S�o
Address: Company:
City: - cam' Pygpcii State:f Address:
Zip Code: ���' `( Fax: City: T c T- �� 1�� �c i� State,
Phone No. —n-2— Z` 3,3"1 Zip Code: Fax:
E-Mail: Phone No
Fill in fee simple Title Holder on next page(if different E-Mail C.01r, �`�«o� '�� N�►�*An • ^
from the Owner listed above) State or County Licensee
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.