HomeMy WebLinkAboutHorten Completed Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
�z Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
FPERMIT APPLICATION FOR: RE -ROOF METAL
PROPOSED IMPROVEMENT LOCATION:
Address: 92 N EL MAR DR. JENSEN BEACH FL 34957
Property Tax ID #: 4511-500-0060-000-4 Lot No. 30
Site Plan Name: BEACH CLUB COLONY Block No.
Project Name:-��-5���
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING ROOF AND REPLACE WITH NEW METAL ROOF
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: I
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: 1 1 Sq. Ft. of First Floor:
Windows/Doors _ Pond
Cost of Construction: $ Utilities: —Sewer _Septic
Roof 5112 Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name i2.�.�
Name:
Address: i-1
Company:�t
City: l�_.tiCS-11 -- �� State:
Address: C- '
Zip Code: Fax:
City: L'
State:L
Phone No.
Zip Code:
Phone No "'tip
E-Mail ;
Fax:
Gi oA-.u-'
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License
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If value of construction is 2500 or more, a RECORDED Notice of Commencement is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.