HomeMy WebLinkAboutBuilding Permit Application 04/05/2016 15:27 7727811307 FLYNNS AC PAGE 01
ALL APPLICA LE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L' �r o g • 4$1
Permit Number:
RECEIV'7D APR p 61036
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential_
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line d.C', -Gd �a
Address Q r try L�``�
Legal Description. ( 1 I �- •fir �s
1 Yi C
Property Tax ID#:—M r - P6;Z f- OW - Lot No.
Site Plan Name: Block No.
Project Name:-. L. C.iii CA� Q J'{ -`
Setbacks Front Back: `� Right Side: Left Side:
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nal work oe orme Under this perms -c ec a apply:
HVAC 11Gas Tank [-]Gas Piping _Shutters Q Windows/Doors
U Electric LIPlumbing ❑Sprinklers 11 Generator �Roof
Total Sq. Ft of Construction: SC Ft.of First Floor:
Cost of Construction:$ Utilities. Sewer D Septic Building Height:
Name 'F-n, C;'I n0(N f P,n Name: d "� 1 m V1 'I -----
Address: I Z� ?25' "00rTM16L 3"'> Company: V kv\
City:Pa i*N °�-c 4 5tate:'E�.- Address: 1`X ?i St,-
Zip
WZip Code: 1'4 q CT() Fax: , . _ City: a4-A State- �-
Phone No. �� '� __•_ Zip Code: Fax G +�
E-Mail: ` h '~ Phone No. `{ 3 - Li I
Fillinfeesim4leTitle Holder on next page(if different E-
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
04/05/2016 15:27 7727811307 FLYNNS AC PAGE 02