HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED,
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Date: jG Permit Number:
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 xxxxx
.PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
POSED lMPROUEMENT LOCATION., ` '
Address: 167_9,5, S' �G C�'J v� �� 2/
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Legal Description:
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Property Tax ID#: L� 1 S-D 31 CSU 0 – .-S Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION O'F WORK
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144 Vic_ 00 C,Lf7,J
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CONSTRUCTION INf,ORMATION ` 3
Additional work o be performed under this permit-c ec all t=appy:
HVAC Gas Tank ❑Gas Piping Shutters j Q Windows/Doors
aElectric 0 Plumbing Sprinklers a Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
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Cost of Construction: Utilities: _Sewer Septic Building Height:
ODUNER/LESSEE _ CONTRACFTOR
Named/�2_Lt e , 7 14-�d t—, Name: John R Law
Address: /lJ 7Company: Law's Electrical Service Inc
City: �zvr�i� ��2�G, State:�r Address: 5158 NW Primm St
Zip Code: 3 `I"l S-7 Fax: City: Pt St Lucie State:FL
Phone No. Zip Code: 34983 Fax:
E-Mail: Phone No. 370 4357
Fill in fee simple Title Holder on next page(if different E-Mail: johnlaw5158@aol.c6m
from the Owner listed above) State or County License: 29432
if value of construction is$2500 or more,a RECORDED Notice of commencement is required.