HomeMy WebLinkAboutPERMIT APP (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/14/2020 Permit Number:
ly °' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Concrete Slab
PROPOSED IMPROVEMENT LOCATION: ST LUCIE HEALTH DEPARTMENT
Address: 5150 NW MILNER DR, PORT ST LUCIE
P rn na rtv TnY I r) it. 3301-701-0006-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
ADD ON TO EXISTING CHILLER SLAB - 6" THICK- 4000 PSI CONCRETE - DRILLED AND DOWELED INTO EXISTING SLAB EVLRY L' Vic:
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
Electric —Plumbing
Total Sq. Ft of Construction: 100 SQFT
Cost of Construction. $ 2,300.00
—Sprinklers — Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: Sewer _Septic Building Height:
OWNER/LESSEE;
CONTRACTOR:
NameST LUCIE COUNTY
Name:CHRIS CARTER
Address:2300 VIRGINIA AVE
Company:CARTER'S CONCRETE CONSTRUCTION
City: FT PIERCE State: _
Zip Code: 34982 Fax:
Phone No.
Address:5610 SMITH LN
City: FT PIERCE State: FL
Zip Code: 34982 Fax:
Phone N07725196087
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailCCARTER146@HOTMAIL.COM
State or County License26700
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requirea.
If value of H"C is $7,500 or more, a RECORDED Notice of Commencement is required.