HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:1//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: & .2 S' in 19 rl, / ,;t 3 j6
Legal Description:
Property Tax ID ..#_ `"iS I l IS -0 ) — 01 b g - 6' 0 ' / Lot No.
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Flight Side: Left Side:
DETAILED DESCRIPTION OF WORK.-
remove
ORK:remove existing pedestal install new 150 amp meter combo pack on 2" alum strut stand
JUILIV1101 WVIA U! UC Vt=11U1IIIVU UIIUCI 11115 PC[ 11110— GIMM dl1 &na dpply;
HVAC Gas Tank MGas Piping _ Shutters Windows/Doors
ZElectric F1 Plumbing Sprinklers 0 Generator F]Roof
Total Sq. Ft of Construction:
Cost of Construction:
i
Ft. of First Floor: _
UtilitieuSewerF]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 12 00 A v vl v l �
Name: John R Law
Address: l V 72-L S- Lc rg-" Ott 4-A-76,
Company: Laws Electrical Service Inc
Address: 5158 NW Pdmm St
City: `.� e k I c N d -r.tc 1, State: �/
Zip Code: `3 `1 a� 3- 7 Fax:
City: PT ST Lucie State: FL
Phone No. 6 31 - &76,-r
Zip Code: 34983 Fax:
E -Mail:
Phone No. 772 370 4357
Fill in fee simple Title Holder on next page ( if different
E -Mail: johnlaw5l58@aol.com
from the Owner listed above)
State or County License: 29432
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.