HomeMy WebLinkAboutPSL PG 1All 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
ERM IT APPLICATION FOR: TEMP POWER POLE TO BE REMOVED AT END OF PROJECT
PROPOSED IMPROVEMENT
Address: 633 SE HIDDEN DR PSL, FL
Property Tax ID #: 3427-701-0006-000/4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
80A TEMP POWER POLE TO BE REMOVED AT END OF PROJECT
Second Electrical Meter
Lot No.
Block No.
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
—Mechanical — Gas Tank — Gas Piping — Shutters
— Electric ® Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name PAUL CHARETTE
Name: PAUL MCLAUGHLIN
Company* PTM ELECTRIC INC
Address: 16971 W HIALEAH DR
Address: 2528 N 38TH AVE
City: HOLLYWOOD StatelL,
Zip Code: 33021 Fax:
City: LOXAHATCHEE State: FL
Phone No.
Zip Code: 33470 Fax:
Phone No 561-329-6974
E-Mail: paul@chareftearch.com
Fill in fee simple Title Holder on next page if different
E-Mail PAUL@PTMELECTRIC.COM
from the Owner listed above)
State or County License EC13004084
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.