HomeMy WebLinkAboutBuilding Permit Application (2)II APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/28/19 Permit Number:���
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Electrical
PROPOSED IMPROVEMENT LOCATION;
Building Permit Application
Commercial Residential x
Address: 5804 Winter Garden Parkway, Fort Pierce, FL 34951
Property Tax ID #: 1301-613-0088-000-9
Site Plan Name:
Project Name:
DETAILED DESCRIPTION.OF WORK:
Add dedicated weather proof outlet to outside of home
I
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ L5 0 Utilities: —Sewer —Septic Building Height:
Lot No.4
Block No. 140
_ Windows/Doors
Roof Pitch
OWNERAE,,SSEE:
CONTRACTOR: -
Name /�l T�>Z
Address: U
City: )r-dt?7�!G%�G� State: �/
Zip Code:' _ q � / Fax:
Phone No: EV_ $-y—�i
Name: John Cavnar
Company: Goldstar Electric
Address: 3141 SW Dimattia Street
City: Port Saint Lucie State: FL
Zip Code: 34953 Fax:
Phone No 772-380-5913
V
E-Mail: '
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailjohnc@goldstar-electric.com
State or County License 23575
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.