HomeMy WebLinkAboutkarsonovich 2 permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:la�,3II jjb''��^^,,,,,,,'' Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3/981
Phone: (772) 462-1553 Fax: (772)462-1578 Commercial Residential K
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address:,SOZ L_)b'I1OFI Q/�CL 11''
Legal Description: GILg LJ():� 4o(_ LOE a3
Property Tax ID R: I O a -'d 10 - OOc{& - O 00 - O Lot No.
Site Plan Name: Block No.
Project Name: fsoncli;h
Setbacks Front Back: Right Side:_ Left Side:
Zn +ill Ild7' off' 6' woc Fente. -
C\ Lft wfd.A 10,1k Jili
3r wiou welic Sal_
Additional work o bMrtormedunder is ermi -c ec a appy:
❑HVAC Gas Tank IIIA-rIIiU','as Piping Shutters ❑Windows/Doors
Electric ❑Plumbing I�ISprinklers ❑Generator Roof ❑ Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ �. �(n�.0o Utilities:Sewer Septic Building Height:
Name r) ,50r1OU IC Name: 1J2. QM}
Address: 7S-01f On r1 L Company: 14 clem3 fen(Q
City: i ieyc- Statli Address: i)0(0 VSk- G
ZipCode _ r Fax: City: bli State
Phone No. WelD -71 ba. Zip Code: Sc) S (o --I Fax:
E-Mail: Phone No. �S - 2CJ38
Fill in feesimple Title Holder on next page (if different E-Mail:
from the Owner listed above) State or County license:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.