HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/15 Permit Number:
T. L U PY
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
tivaress: J — VV000 �L rUI L OL Luae, r 134)too
Property Tax ID #: 3322-500-0005-000-8
Site Plan Name: Shepard - Residence
Project Name: Kenneth & Cheryl Shepard
DETAILED DESCRIPTION OF WORK:
30 G - Bradford White - Electric Water Heater
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential x
Lot No. 1
Block No.
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
Electric 4 Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1699.95 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kenneth Shepard & Cheryl Shepard
Name: Don Miranda
Address:9620 Fairwood Ct
Company: Miranda Plumbing & Air Conditioning
City: Port St Lucie State: _
Zip Code: 34986 Fax:
Phone No. 772-489-9495
Address: 750 NW Enterprise Dr
City: Port St Lucie State: FI
Zip Code: 34986 Fax:
No 772-878-5123
E -Mail: klshep5782@aol.comPhone
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of rnmtru.tinn is Icon,.....
E -Mail jay@mirandacompanies.com
State or County License CFC1427227
-,...cmm�r n'eyuwrea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.