HomeMy WebLinkAboutRevisionALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:oB -I ~-20ILP Permit Number:Sl (I.ICoOB -034L/
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 here
.BROpostelNPReVEMENT LCCATION:.
Address:133 SOLt-m T -~5 tHesf-Aref)..')(SoU;kh...}#ptcMl
Legal Description:~~A,\.e..t4D..r~et'133
Property Tax 10 #:1-303 -\\\-oOdS -ODD-b
Site Plan Name:_
Project Name:_
Lot No._
Block No._
Setbacks Front._Back:Right Side:Left Side:_
Shutters
D Generator
o Windows/Doors
DRoof
Total Sq.Ft of Construction:_
Cost of Construction:$42CbD!?.--'-'==--------
S~of First Floor:
Utilities:USewer DSeptic Building Height:_
Name 0\-o..-te.of nor·,do.::tDT
Address:aLl-DD W,CommercJa.1 :Blvd.
City:G,laud£("dale..State:fL
Zip Code:333()OJ Fax:_
Phone No._
E-Mail:_
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name:_r
Company:Achlao+-<1$--fHC ~+h~a SU(~Coasf
Address:JO$s,.«\0 rll!eJ Avenue.,
City:JOr-t-leree..State:l1::..
Zip Code:3l{l1 B'2...Fax:'772 -%5 -Lf'1 Lf~
Phone No.rJ 72 -%5 -\{o(jo
E-Mail:Qd VOntage..per-m'ltS @bd-®i \.Gem
Stat or County License:CRf..Q?i)(oloLl-c.~:
If value of construction is $2500 or more,a RECORDED Notice of Commenceme is required.
ALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:08-IB -20HO Permit Number:6lC..llo05·034S-
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial V Residential ----
PERMIT APPLICATION FOR:To Select from dropbox,click here
~PROPOSE~DINPROVEMENT LOGATI0N:
Address:3"3 NDr-\h 'I-q 5 ~es-t A<ea
Legal Description:_M'l \-e.No (\Ie r l33
Property Tax 10 #:£303 -l \l-0025-0C;()-~
Site Plan Name:_
Project Name:_
Lot No._
Block No,_
Setbacks Front _Back:Right Side:----,__Left Side:_
ShuttersDGenerator
o Windows/DoorsoRoof
Total Sq.Ft of Construction:_
Cost of Construction:$J.··\-IOD~--------
SCf-E!;of First Floor:
Utilities:USewer DSeptic Building Height:_
---'-'=->"-..lo..Io.A<1'!~...!......looo=c......=...State:R Company:a It of ~r ure a.s+
A~dress:t~~'~arlAe+Avenu~
City:J'Or err State:~L
Zip Code:3lJ.(j02.Fax:112-%6-4CllfS-
Phone No.rz72 -l-f{o 5 -llodR
E-Mail:ad V anfage.--p;:r m Its @.ho\n"Q.',\.CDnL
St e or Coun/ty ~icense:CAc-03CHo~ljue..,it:-:
""""""'"""""""'''""''-...1.....-_Fax:_
Phone No._
E-Mail:_
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is $2500 or more,a RECORDED Notice of Commenceme t is required.