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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/2/2017 Permit Number: 01
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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
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PERMIT APPLICATION FOR: ElectricalEl
PROPOSED IMPROVEMENT LOCATION:
Address: 10791 Grey Heron Court, Port St. Lucie, FL 34986
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Legal Description:
Property Tax ID#: 3321-803-0073-000/2. Lot No. fi9
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION 0'F WORK: I
Install a dedicated 50 amp receptacle circuit in garage for battery charger.
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CONSTRUCTION'INFORMATION: I
Additional work to be nertormed under this permit—check all that appy:
HVAC Gas Tank Gas Piping Shutters I1 Windows/Doors
I Electric 0 Plumbing Sprinklers Generator _Roof Roof pitch
Total Sq. Ft of Construction: n/a S . Ft. of First Floor: n/a
Cost of Construction:$ 700.00 Utilities'
Septic Building Height: n/a
OWNER/LESSEE: CONTRACTOR:
Name Steve Aptheker Name: John Angarola,
Address: 10791 Grey Heron Court Company: Southeast Electrical& Maintenance Corp.
City: Port St. Lucie State: FL Address:" :721 SE Sweetbay Ave
34986 Port St. Lucie j ;.,;' FL
Zip Code: Fax: City: nr. . State:
Phone No.631-905 6147 Zip Code: 34983 Fax: 7.:72-879-7898
E-Mail: marcelle.uzzi(gcomcast.net Phone No. 772-879-7010
Fill in fee simple Title Holder on next page(if different E-Mail: seemc96@a9l.com
from the Owner listed above) State or County License: EC13003327
Llfvalue of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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