HomeMy WebLinkAboutBuilding Permit Application ALL APPUCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n I
Date:
G. 2 Permit Number.
-
ECEIVED
ommm Building Permit Application JAN 0 9 201'
Planning and Development Services PEWAITTING
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: To Select from dropbox, click arrow at the end of line .
.PROPOSED IMPROVEMENT LOCATION:
Address: X 436 90 5c1AWA) A�,V q9 dz
Legal Description:
Property Tax ID#: 3,14 0 005^ ®6 e7 — Lot No.�_
Site Plan Name: Block No. I
Project Name: 5U Q ai5Z f Q.1 E 5 i 1
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:.
H904 MU
AREC-fi 3.0 TPI) il- ) 6� uj'" 10 k(d
CONSTRUCTION INFORMATION:
Add nal work to ElGasTank
orme un er t is permit—c ec a appy:
HVAC Gas Piping _Shutters0 windows/Doors
11 Electric 1i Plumbing Sprinklers Generator F]Roof Roof pitch
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ �� d. Utilities: Sewer 0 Septic Building Height:
OWNERILESSEE: CONTRA .
Name OUzA Name:
Address: 2066011))N Wp- Company: ,
City: PO 0--, 9 1VState: Fk Address: . o sl �l
Zip Code: 341`0- Fax: City.. `P' z' State z
Phone No. �')� " 3 2' "1 6 Tip Code: Yz$/ Fax:
E-Mail: Phone No. a7 G=
Fill in fee simple Title Holder on next page(if different E-Mail: 6
from the Owner listed above) State or County License:
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.