HomeMy WebLinkAboutPercic In fill SLC AppAll 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential X
PERMIT APPLICATION FOR:Aluminum/screen enclosure ( in fill only)
PROPOSED IMP tOVEIVIEN -LOCATION:
Address: oo 1J t-nampions way tort St Lucie, FL 34986
Property Tax ID #: 3334-501-0018-000-2 Lot No. 4
Site Plan Name: LAKES AT PGA VILLAGE BLK A LOT 4 Block No. A
Project Name: Percic
DETAILED DESCRIPTION OF WORK:
Install a 14' x 14' aluminum/screen enclosure under existing roof and on existing slab (in fill only).
New Electrical Meter Second Electrical Meter
ICONSTRUCTION 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: $ $1,890.00 Utilities: _ Sewer _ Septic
Building Height:
OWNERf LESSEE:
CONTRACTOR:
Name Richard Percic
Name: Michael J Newman
Address: 8813 Champions Way
Company: Pioneer Screen Co. Inc. II
City: Port St Lucie State:
Zip Code: 34986 Fax:
Phone No. 561-262-4039
Address: 1682 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax: 772-340-4626
Phone No 772-340-4393
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Pioneerscreen@msn.com
State or County License RX11066919
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If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNEEi/ENGINEER; ____ Not Applicable iVlORTGAGE COlVlPANY; �°li Not Applicable
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FEE SIMPLE TITLE HOLDER: Not Applicable
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BONDING COMPANY:-LZNot Applicable
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