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Building Permit Application (2)
:A�:; F�'iaFb•-i �E '�t9i?CA�?�1'�O�AOC'�'iE!') Rate: ? t permit tiittrnber: .iw V MAR 0.3 7.016 Pfannfrr�rnad aettS�daes BUffdfV OW Code ftppr iWon tNdfslon PERMITTING 23t>aWrgh&Amnip.ForrPkr&eFL341 St. Lucie Couryty, FL Phoftee-f ?2)462-1M Fax:(7rz)dsa ISM Commercial Re6dential IVMW ar i a: fter 'Address: tb��,-••`��I•�,�c.d. �[a.,�_e.s ���.r� _ �fvr,r'n �,,,..��•+-, 131 D - Ffr;�erlyTarctQ'�: � ����� p I��.-� �QO • _ l�ria Site P M6.-lname• Block No. Setbadts Faint Back: RktttSide:. Left Side- _-- NC, • AN" r — a app - WAC Gas Tank ,as Piping Shutters E Windows/Doors, 0 Electric Plumbing []Sprinklers []Generator C]Ro4 Total Sq.Ft-of Conmcdon: Sq.Pt.of First Floor. Cost of Construction:$ �� Utilities5ewerUSeptic -—Buildin8 Height: . Name U� Name: Address• 3 Company: 2m• CkT. trcc.rttpnYd Stne:OJ Address• Zip Code: 1�5 Fax: City: Phone No _,.-- ___ , _ Zip Coder Parc •j�9 >E Mai!• Phone No. All in tee since mile Rdet on-next page'(If•diiferent E-Mail: • irorrt't�er ate) SRate or'coimty �✓ �' tfv8lur bfWIWhwffOR is- os mop,a ttt toe of iConwwfibemest is regted. E0/Z0 3Jdd �13IW3d b60TZ69ZLL tE:bT 9Z0Z/Z0/E0