HomeMy WebLinkAboutpermit application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: IV� • ���
Y1. ;
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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow-at the end of line
PROPOSED tMPROVEME,N7 LOCATION ` :
Address: 103 EDEN CREEK LANE , JENSEN BEACH FL
Legal Description: OAKS AT INDIAN RIVER LOT 3 (OR 1939-786; 3101-1243)
Property Tax ID#: 4509-807-0006-000-3 Lot No.
Site Plan Name: PRYLES Block No.
Project Name: PRYLES
Setbacks Front NIA Back: NIA Right Side: NIA Left Side: NIA
DETAILED DESCRIPTI01�°C►F WORK x
HURRICANE SHUTTERS / ROLL UPS / 12 OPENINGS
CQNSTRIJCTIONINFORMATION > �
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Additional work to benertormed un erispermit-checkaappy:
❑HVAC Gas Tank Gas Piping ImShutters Q Windows/Doors
11 Electric ❑Plumbing Sprinklers 11 Generator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor: X
Cost of Construction:$ 15,000.00 Utilities:Sewer F]Septic Building Height:
OWNER/LESSEE 5 x A. . CC}NTRACTCIt
Name PATRICIA D PRYLES Name: MICHAEL GOODWIN
Address: 103 EDEN CREEK LANE Company: JENSEN BEACH ALUMINUM
City: JENSEN BEACH State:FL Address: 1720 NW FEDERAL HWY
Zip Code: 34957 Fax: City: STUART State:FL
Phone No.772-229-6266 Zip Code: 34994 Fax: 692-9744
E-Mail: Phone No. 692-0090
Fill in fee simple Title Holder on next page(if different E-Mail: MICHAELLGOODWIN@YAHOO.COM
from the Owner listed above) State or County License: CGC 1508437
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.