HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Ns
owft.;;!
� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: g E r ia-,0-F L_
PROPOSED IMPROVEMENT LOCATION:
2506 KERR ST. FORT PIERCE FL 34947
r+uui caz-.
Property Tax ID #: 2419-601-0009-000-0
Site Plan Name: SEMINOLE PARK S/D
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No. 8
Block No. 1
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
,,,_,_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors � Pond
Electric _ Plumbing `Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic Building Height:
OWNER/LESSEN
.. .. . .
CONTRACTOR :..:: :...:.
Name_g&_�,,)A SM ► T-H
Name:
Company: i0AJRC.� i2DQi74fJ&
Address: 2S_0(d KF2 SI
_
City:_ o2r pt -C� State:�L�
Zip Code: 3q-`t47 T_ Fax:
Phone No.
E-Mail:
T
Address: ti`?701 61f,) A:��1�L ST
City: _241_1'1 cit! ___State: �-
Zip Code: '34C iU Fax:
Phone No 7 �2 - 34'1 -otl 3S7
Fill in fee simple Title Holder on next page ( if different
the Owner listed above)
E-Mail S�.L ni vyto-e-61L(�from
State or County License 0, e-& K5-
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.