HomeMy WebLinkAboutBuilding Permit Appl
_________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
All 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 __________ Residential ___________
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: __________________________________________________________________________________________
Property Tax ID #: _________________________________________________________________ Lot No.__________
Site Plan Name: __________________________________________________________________ Block No. _______
Project Name: ______________________________________________________________________________________
DETAILED DESCRIPTION OF WORK:
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 ___ Windows/Doors ___ Pond
__ Electric __ Plumbing __ Sprinklers __ Generator ___ Roof __________ Pitch
Total Sq. Ft of Construction: ___________________ Sq. Ft. of First Floor: _________________________
Cost of Construction: $ _____________________ Utilities: __ Sewer __ Septic Building Height: __________
OWNER/LESSEE: CONTRACTOR:
Name__________________________________________
Address:________________________________________
City: _________________________________ State: ___
Zip Code: ______________ Fax:____________________
Phone No.______________________________________
E-Mail:________________________________________
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:_________________________________________
Company:_______________________________________
Address:________________________________________
City: ______________________________ State:____
Zip Code: ________________ Fax: __________________
Phone No_______________________________________
E-Mail__________________________________________
State or County License____________________________
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.
JAK, INC. d/b/a APPLEBEE ELECTRIC
JOHN M. APPLEBEE
P. O. BOX 15
FLFT. PIERCE
34954-0015 (772) 466 - 3765
(772) 466 - 7930
applebeeelectric@bellsouth.netEC #0002956
X
02/02/2021
6701 DELAND AVE
1301-612-0337-000-7 21
132
2,365.00
PAUL F McCONNELL
6701 DELAND AVE.
FT. PIERCE FL
34951-1523
(561) 358 - 4404
CONVERTING 200 AMP ELECTRICAL SERVICE FROM OVERHEAD TO UNDERGROUND.SAME FOR SAME.