HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: --------Permit Number: ________ _
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Planning and Development Services
Building and Code Regulation Division
Building Permit Application
Commercial Residential x -----------2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical -Installation of new pedestal
P.��SED IMPROVEMENT LOCATION:
Address: 1225 Nettles Blvd, Jensen Beach, FL 34957
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Property Tax ID#: 4502-501-1412-000-9 Lot No ____ _
Site Plan Name: __________________________ _ Block No_ ---
Project Name: Ro Leloia / 1225 Nettles
Remove existing pedestal and build new rack for the installation of new meter socket and RV panel.
New Electrical Meter Second Electrical Meter ----------
Additional work to be performed under this permit-check all that apply:
_Mechanical
Electric
Gas Tank
_Plumbing
_ Gas Piping
_ Sprinklers
Shutters _ Windows/Doors Pond
Generator Roof ____ Pitch
Sq. Ft. of First Floor: _________ _ Total Sq. Ft of Construction: _______ _
Cost of Construction: $ 1800.00---------Utilities: _ Sewer _ Septic Building Height: ___ _
Name Rosemarie Leloia
Address: 1224 Nettles Blvd
City: Jensen Beach State:
Zip Code: 34957 Fax: _______ _
Phone No. (772) 285-8768
E-Mail: sunnyroey@aol.com
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
CONTRACTOR:
Name: Donald Green
Company: Don Green Electric LLC
Address: 1305 W 1st St
City: Fort Pierce State:£!:_
Zip Code: _3_4_9_82 _____ Fax: ______ _
Phone No (772) 418-57 39
E-Mail permits@dongreenelectric.com
State or County License EC13007447-----------
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.