HomeMy WebLinkAboutBuilding Permit ApplicationAIIAPPIICABLE INFO MUST BE COMPTETED FOR APPTICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Planning and Development Services
Euilding and Code Regulotion Division
2i00 Virginio Avenue, Fort Pierce FL 34982
Phone: 1772J 462-7s53 Fax: 17721462-1578 Commercial Residential
PERMITwPE: ELECTRICAL
PROPOSED IMPROVEM ENT LOCATION :
Address: 102 NW Airoso Blvd, Port Saint Lucie, FL 34983
Property Tax lD g' 3419-555-0001-000-7 Lot No.1
Site Plan Name:ggq6k f{e. 139
Project Name:
DETAILED DESCRIPTION OF WORK:
SERVICE CHANGE
CONSTRUCTION INFORMATION :
Additional work to be performed under this permit - check all that apply:
Mechanical
/r,"o,,,
_ Gas Tank
_ Plumbing
_ Gas Piping
_ Sprinklers
_ Shutters
Generator
_ Windows/Doors
Roof Pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction, 5 1,500 Utilities: _Sewer _Septic Building Height:
lf value of construction is $2SOO or morer a RECORDED Notice of Commencement is required.
lf value of HVAC is 97,500 or more, a RECORDED Notice of Commencement is required.
owNER/LESSEE:CONTRACTOR:
Name NELLY P. REBELLON
Address: 102 NW Airoso BLVD
City:PORT ST LUCIE State: J!1!
ZiP Code: 34986 Fax:
phone Ns.561-584-0635
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
N2mg'PUBLIO STERLING
Company:MR. ELECTRIC OF PORT ST LUCIE
Address:5994 NW BAYNARD DRIVE
City:PORT ST LUCIE State: FL
ZiP Code: 34986 Fax:
phone Ns772-777-5678
s-1y3 ;1 MR. ELECTRIC. PSL@GMAIL.COM
State or CountY 1;6gn5gER13015179