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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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 €'ERMIT A!'PLICATIC�N FOR: T© Select frnrn dro�box, click arrouv at the end caf line v -6I PROPOSED IMPROVEMENT LOCATfON: )()Ck' - - Address: 40o WF(oncA_1Q,n I)V, Legal Description: �r_, Woocllav x(tc Property Tax ID #: R/5- 70/ -,;2 Lot No._ Site Plan Name: Block No. ProjectName: Setbacks Front— Back: Right Side: Left Side: CONSTRUCT ON INFORMATION: Aitiona iii:iil 11; to E 3e orme un er t is permit HF�71 VAC :k aTF Windows/(}cors 1:1 Gas Tank F]Gas Piping Electric UkPfumbing OSprinklers [lenerator 1:1 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construclion. $ 765 S . Ft. of First Floor: Utilities-cn Sewer El Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Address:A)o "Luom((Q�Idc f),,z Company- eta"Q > City: Stater Address: Zip Code: Fax: City: _Rbc,4 S t state: PU__ Phone No. -x`7(255 Zip Code: RUC -1 Fax: E -Mail- —_Phone No. '"a-_777 Fill in fee simple Title Holder on next page if different E -Mail: PV 114-'l from the Owner listed above) State or County License, 0 0 If value of construction is s2500 or more, a RECORDED Notice of Commencement is required.