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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 6593 Samba Street Fort Pierce FL 34945 Legal Description: Like for Like Property Tax ID #: 2313-701-0029-000-8 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: k Like for like, install new 40 gallon electric heater_ CONSTRUCTION INFORMATION: CONTRACTOR: Name Iris Winters Name: Manuel Duran Company: First Choice Plumbing Solutions LLC Additional work toe erformed under this permit — check ©HVAC Gas Tank E]Gas Piping a appy: _ Shutters Q Windows/Doors 11 Electric 0 Plumbing Fill in fee simple Title Halder on next page ( if different from the Owner fisted above) Sprinklers ❑,Generator F]Roof Roof pitch Total Sq. �t of Construction: S Ft. of First Floor: Cost of Construction: $ 800.00 Utilities: Sewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name Iris Winters Name: Manuel Duran Company: First Choice Plumbing Solutions LLC Address: 6593 Samba St City: Fort Pierce State:FL Zip Code: 34945 Fax: Phone No. Address: 1687 SW South Macedo Blvd City: Port Saint Lucie State: FL Zip Code: 34984 Fax: Phone No. 772-878-1414 E -Mail: Fill in fee simple Title Halder on next page ( if different from the Owner fisted above) E -Mail: firstchoiceplumbingsolutions@gmaii.com State or County License: CFC1427369 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.