HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11 7 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 xxxxxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: /0 7 a r f, CSC 14 h jj k1- .t4 9.
Legal Description:
Property Tax ID G 1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
remove existing pedestal install new 150 amp meter combo pack on 2" alum strut stand
CONSTRUCTION INFORMATION:
ditional work toeej orme under this permit —check a appy:
HVAC LJ Gas Tank ❑Gas Piping Shutters M Windows/Doors
QElectric L _l Plumbing Sprinklers 0 Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ i4-100 t.. Utilities Sewer aSeptic Building Height:
OWNER/ LESSEE:
CONTRACTOR:
'
Name h « in w►
Address: ii, '-10 ire 6
City: .5+v o e N C lie e h State: Oil/
Zip Code: %- ?,9 S 1T lax:
Phone No. �11 41
E -Mail:
Name: John R Law
Company: Law's Electrical Service Inc
Address: 5158 NW Primm St
City: PT ST Lucie State: FL
Zip Code: 34983 Fax:
Phone No. 772 370 4357
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: johniaw5158@aol.com
State or County License: 29432
if value of construction is $2500 or more, a REcumvEu Notice or commencement is requirea.