HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/8/2020 Permit Number:
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Building Permit Application
Planning and Development services
Building and Code Regulation Division Commercia
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electf ICal
PROPOSED IMPROVEMENT LOCATION:
Address: 5205 Deer Run Dr
Property Tax ID #: 1313-502-0024-000-9
Site Plan Name:
Project Name:
Residential X
DETAILED DESCRIPTION OF WORK:
Install 240 volt 20 amp circuit for a mini split system for Daikin two ton wall mounted cooling system.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No._
Block No.
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: $ 500.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mark & Shelia Smith
Name: Daniel Stubbs
Address: 5205 Deer Run Dr
Company: S&W Electric, Inc
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 815-579-9625
Address: 501 W Coker Road
City: Fort Pierce State: FL
Zip Code: 34945 Fax: 772-464-4273
Phone No772-201-7320
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail stuboutelectric@aol.com
State or County License 30071
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.