HomeMy WebLinkAboutBuilding Permit Application 12/08/2016 07:14 7724612036 STEVE SMITH 4C PAGE 02/03
ALL APPLICAKE INFO MUST Of COMPLETED FOR APPLICATION TO BE ACCEPTW
Date: Permit Number: A/
Sulldmft Permit Application
Plonning and Development Services DEC 8 2016
Building and Code Regulation DMsion
Z30 Virginia Avenue,FW Pierce Fk 349V
Phone:(772)46Z-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select ftom dropb*ox, click arrow at the end of line
Address: 60-73�e
Legal Description:
PropertyTaxlD#: Lot No.
Site Plan Name: Block No.
Project Name
Setbacks Front_ Back; Nght side: Left Side
13HVAC U Gas Tank as Piping Shutters Windows/Doors,
OElectric Plumbing Rsprinklers F�Generator Flitoof
Total Sq.Ft of Construction.
So.Ft.of First Floor:
Cost of Construction:S Utilities:n Sewer 13Septic; Building Height*
�Name Name: Steve Smith
8001 Eden Rd
Zip Code: 773-r-;?-�' / Fax- CtV: Fort PWce - State.FL
Phone No. Zip Code: 34961 - Fax- 772 461-2036
E-Mail: Phone No.772 461-1425
Fill-in fee sin4k Tiffie H"r on next Page it dW*Mnt E-Mail: stevesm1bacead-com
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