HomeMy WebLinkAboutWATER HEATER, GAS OR ELECTRIC 04/13/2016 06:48 7724621578 ST LUCIE CO IMPACT PAGE 02/03
ALL APPLICABM II�N``FOO MUST BE COMPLET90 FOR APPLICATION TO BE ACCEFTED
Date;��-C"'--'r`""'_ permit Number. b 1 (3
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RECE1Vr7D APR 13 20151
law
Building Permit Application
Plcnning and Deueivpmentservices
Building and We Ragelatlon DWWan
23W%ftiniaAverure,Fart FwMe FL 34982
Phone:n72)462-1553 Fax:(772)462-IS79 Commerclal Residential
PERMIT APPLICATION FOR: :To Select from dropbox,click here
PROPOSED IlNPROVEMENT 0MTfONi"' .r.
Address:
Legal Description; 4+
Property Tax ID#: " Lot No. -
Site Plan Name: AAA
1 Block No.
Project Name: -�.
Setbacks Front,_,__,,,_,,, Back:_Right Side: Left Side;
[D:ET:A=fLEDDESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Aoo15onajworKWb=rrvrmed underthis permit-checK atLrnat OPP y:
[)l•iVAC Gas Tank as Piping _Shutters �Windows/Doors
rldl
El Electric L-UPlumbing Rsprinklers Q Cenerattor 01100f
Total Sq.Ft of Construction- Sq'
Pt of First later:
Cost of C.onsftinfon:$ Utilities: Sewer Lj septic Building Height:
OWNi:I�t/ SEE' C0NTR4CTqKj
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Narne Name: -
Address: j Company:
City: State: ! Address:
zip Code: Fa : City: &in State;
Phot7e Zip Code: ! �Faaxh .
E-Mail- Phone No " 41G1i V
MR In tee simple Title Holder an next page(if different E-Mall:
from the Ovmar IIxW4 above) State or County License:
it vakie ar Cans %wdon la*Wao or more.a RNWROED Y4*6 .of icomwenaot+ont is raWred.
84/13/2816 85:49 7724621578 ST LUCIE CD IMPACT PAGE 63/83
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