HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/09/2019 Permit Number
RECEIVED
Building Permit Application JAN 0 9 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division g p
2300 Virginia Avenue,Fort Pierce FL 34982 St. L 'e County, FL
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Re
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address:,3275 MATTHEWS RD., FORT PIERCE, FL 34945
Legal Description: S/D OF ALL 29-35-39 N 1/2 OF E 1/2 OF LOT 15 AND N 60 FT OF LOT 16-LESS CANAL R/W
(6.82 AC) (MAP 23/29N) (OR 3890-561)
Property Tax ID#: 2329-501-0005-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
HOOKUP SUBMERSIBLE WELL PUMP
CONSTRUCTION INFORMATION:
Additional work to be erformed under t ispermit—clecl all appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric Plumbing OSprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 500.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJAMES CHILDS Name: CHARLES LOWE
Address:3275 MATTHEWS RD Company: CHARLES LOWE ELECTRIC, INC.
City: FORT PIERCE State:FL Address:
Zip Code: 34945 Fax: City: FORT PIERCE State:FL
Phone No.772-528-5798 Zip Code: 34949 Fax:—
E-Mail: Phone No. 772-332-9668
Fill in fee simple Title Holder on next page(if different E-Mail: CLOWEELECTRICINC@AOL.COM
from the Owner listed above) State or County License: ER#0015111
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.