HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 1 � 0�
Date: November 21, 2019 Permit Nu 0-1)
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Building Permit Application
Planning and Development Services Permlttineg Department
Building_:and Code Regulation Division Wit. 1_I,ICie CC3llr)t7rr FL
2300 Virginia Avenue,Fort Pierce FL 34982 --- -_.
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: V -Q ICi
Legal Description: QUEENS COVE ACCESS ROAD, QUEENS ROAD AND REGAL ROAD R/W-LESS ELY 200 FT ANDLESS
W 40FT OF E45 FT GOVT LOT 2 LYG N OF S 900 FT GOVT LOT 2 AND LESS THAT PART ASSESSED IN QUEENS COVE-UNIT THREE-(OR 225-1510:779-1180)
Property Tax ID#: 1423-601-0001-000-4 Lot No.
Site Plan Name: Block No.
Project Name: QUEEN'S COVE
Setbacks Front Back: Right Side: Left Side:
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A CONNECTOR FOR WIRE IN THE GROUND FAILED. REPLACEMENT OF THE WIRING
CONNECTION AND JUNCTION BOX FOR PANEL THAT FEEDS THE ENTRY GATE.
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Additional work to be nertormed under this permit-check all appy:
11 HVAC Gas Tank E]Gas Piping Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 400.00 Utilities:Sewer 0Septic Building Height:
Name QUEENS COVE POA, INC. Name: CHRISTOPHER W. RICHMOND
Address: 134 QUEENS ROAD Company: RICHMOND ELECTRIC, INC
City: FORT PIERCE State: FL Address: 3086 ENTERPRISE ROAD
Zip Code: 34949-8348 Fax: City: FORT PIERCE State:FL
Phone No. Zip Code: 34982 Fax: 772-461-1907
E-Mail: Phone No. 772-461-1951
Fill in fee simple Title Holder on next page(if different E-Mail: DEANA@RICHMONDELECTRICINC.COM
from the Owner listed above) State or County License: EC0001963
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.