HomeMy WebLinkAboutUnger, Window Replacement AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - Permit Number:
COUNTY
--- Building Permit App lication
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
Address: ❑ e2
Property Tax ID #: r — Lot No.--(,e__
Site Plan Name: Block No. f.
Project Name:
CONSTRUCTION Its FORMATION
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
_ Gas Tank
Total Sq. Ft of Construction:
Cost of Construction: $
Name
Plumbing
_ Gas Piping _ Shutters _ Windows/Doors
_ Sprinklers _ Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
- %CONT R: —
Address: ftQ'h
City: State
Zip Code: Fax: 4kg Lv
Phone No. (A I la-
E-Mail: Q1L t_ A,- _tArn. l~ OrYI
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Gary Whigham
Company: South Florida Aluminum Products
Address: 4807 S US HIGHWAY 1
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-466-1074
Phone No 772-466-0913
E-Mail sfapbooks@soflalum.com
State or County License Z
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
[SU LEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:_
MORTGAGE COMPANY: x Not Applicable
Name:
Address:_3&d1 aj aa'ragfL5't ._ Sn& ZfD
Address:
City: _�arn�� State: F&,
Zip: Q 5 Phone SKI — g U0 3
City: State:
Zip: Phone.
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: x Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone -
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.