HomeMy WebLinkAbout1808-0004ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t Permit Number:
4 0
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 �0000000a
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 91'S- , r j L
Legal Description:
Property Tax ID #: `% 5`U -SLI - jy �l _ �, c y _ Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove Existing Pedestal Replace with new
CONSTRUCTION INFORMATION:
Additional worK to D rrormed under this permit -"check a appy:
0HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
EElectric
Plumbing Sprinklers F Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ J G ` ✓
Utilities: Sewer 0 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name—L S f Name: John R Law
Address: �-jI J -, c r i? j 2 Company: Law's Electrical Service Inc.
City: C ii4 ; r State: �L s Address: 5158 NW F'rimm St
Zip Code: U 1 fu Fax: City: Pt ST Lucie State: FL
Phone No. c1 7 -_ �J S i - 3 .i S �j Zip Code: 34983 Fax:
E -Mail: Phone No. 772 370 4357
Fill in fee simple Title Holder on next page ( If different E -Mail: johnlaw5158@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.