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HomeMy WebLinkAboutRevisions All APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED // f
Date: J Permit Number:
/ 69
RECEIVEDREFURM VISION
Building Permit"Application NOV 2 9 2016
Planning and Development Services PERIVIITI'ING
Building and Code Regulation Division St. Lucie County,FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:
P•�O 'O� � N ' RSO E EN O 10
Address: _ .2 A,7 W a c,LL
i
Legal Description:
Property Tax ID#: --,q- 2 -3 000 1 -0 yd !-F Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side: /e
p L « • • •
«O �T • FO' TI©
Additional work to be pertormed under this permit--check all that appy:
_Mechanical _Gas Tank _Gas Piping Shutters _Windows/Doors
_Electric _Plumbing _Sprin _Generator _Roof Pitc
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ -utilities: —Sewer. _Septic Building Height:
0apillCONT' OR:
;Name rko
1. :�� u� Name:_ ' 4 ti; c.u�r22iil
Addr"ess: =rO.t� da.�' �JJa��nra�n� AW Company: +tri z `' rvc i� o
v - ,ate
City: State:-C_ Address:
Zip Code: 3V 9 U Fax: �! City: )0 Y 'State:-.E:,/-
Phone No. 772, 3 '��3 / Zip Code: ;� SL y�� Fax:
E-Mail: a o Phone No -7 7 2 - 3 .S g- 0 9,2-
Fill in fee simple Title Aolder on next page(if different E-Mail 54-a ti-4,.e m c- h 3g 6 @ 6
from the Owner listed above) State or County License O
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.