HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3118/2019 Permit Number:
owns
COUP
F r n i
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Electricall
PROPOSED IMPROVEMENT LOCATION:
Address: 183 Nettles Blvd Jensen Beach, FL 34957
Property Tax ID #: 4502-501-0369-000-5
Site Plan Name:
Project Name: Frank - 183 Nettles Blvd
DETAILED DESCRIPTION OF WORK:
remove old flex pedastal and install new pedastal.
CONSTRUCTION INFORMATION:
Commercial Residential X
Lot No.
Block No.
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
X_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1600.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name FLK Group LLC
Name. Frank Fitzpatrick
Address: 9651 NW 39th Ct.
Company:Alfred Bressaw Electrical Contractors, Inc.
City: Coral Springs, FL State: _
Zip Code: 33065 Fax:
Phone No.
Address:654 NE Dixie Hwy
City: Jenen Beach State: FL
Zip Code: 34957 Fax: 772-334-8776
Phone N0772-334-4014
E -Mail:
Fill in fee simple Title Halder on next page ( if different
from the Owner listed above)
E -Mail abressawelectrical@hotmail.com
State or County License ECO000915
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCrION UEN LAW FMMA►TION:
utwtitfVEWGINEER: Ill 3t APPUcable
Mame: MORTGAGE COMPANY: Not Applicable
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Zip= phone:
FEEANG Ce�Mp�;
Name � sit Applicable
c. tame:
Zip- Phone;
cert that no work or installaffon has commenced Prior to the issuance of a permit_
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ire ciferation of the g�rarrttictg of the tu—, t �y -a �jY.
in aceordan� efth the a � ►�ue~ste d l .tit, t do her agree that ueiii, to all r�cts,, pf�#orrre a work
ply Pia€rts, *w Florida Widing des and St. Lucie County Amendmerds.
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Type of Identification produced -
Type of identification Pr
Cornrnission No. Notary Pj&ft§fate of F#orida Commission No_ �n Notary Public State of Florida
Heather Leealmateer Heath Italmateer
MY Commission GG 260992 MY Commissions GG 260992
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