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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:I SES E - - APR 012016 Building Permit Application PERMITTING Planning and Development Services Si. Lucie County, FL Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential Z2� PERMIT APPLICATION FOR: wecl t L PReOPOSED iNPROVEMENT LOCATIQeN Address: 71 Z S, C, 14 i dd e lv A 1 Ller Legal Description: Property Tax ID#: y � "� `U 1' co 16 - 0©(n Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESGRIPTION'OF)WORKS £ , To Pv-r kr I-e An f,.. w i '41 Aj e c,-, -5 ©0 d P"9w Sle_ e / CONSTRUCTION (NFORMATICINs ' Additional work to be pertormed under this permit—check all that appy: 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:$ 3�s O 0 f© Utilities: —Sewer _Septic Building Height: 77-7,777-77-7C OWNER/LESSEES ONTRACTOR rzE= NameD b ex r Name: d ��S L. :✓ air( Address:7/ Z f• E rdd�,� H �i�� l�r�l Company: �' 7�/� C��d ��'�it' City: enei cv G ( -e-- State: -Address:JS raZ2 Zip Code: Fax: City: / /�'� �� State:—EZ-- Phone No. 7 72 ce S® Zip Code: 3 ` Y S Fax: E-Mail: Phone No di 7 2_ Z y Fill in fee simple Title Holder on next page (if different E-Mail from the Owner listed above) State or Co my License C)q F/ 7 S.5 0 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.