HomeMy WebLinkAboutUpstate 123 Queen Frederika Ct PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
/
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Residential X
PROPOSED IMPROVEMENT LOCATION:
Address: J Q , )Q e �1 �e a c ccc=A r
Property Tax ID#: ` j.l. = %C) (— Q636--coo — Q
Site Plan Name:
Project Name:
Lot No.-k
Block No.
I DETAILED DESCRIPTION OF WORK: I
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping — Shutters _ Windows/Doors
— Electric _ Plumbing _ Sprinklers — Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Nam (q,<
^ e at-JA
ame: Edward June
Address:
t
Company:Ed"s Electric Inc
City: k Colo ►'i> r��_
Zip Code: 3c4-9 C::fT_ Fax:
Phone No.
State: )C�
Address:6201 OleanderAvenue
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772 467-1359
Phone N0772 489-2196
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail kjune53288@aol.com
State or County License EC0001569
it value or construction is ZSuo 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.