HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
s5r LLUm
9 E 0 c� 11 ° k K 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: 7005 WILLOW PINE WAY, PORT ST LUCIE, FL 34986
Property Tax ID #: 3322-621-0047-000-6
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACEMENT OF MAIN VALVE, HOSE BIB AND VACUUM BREAKER
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
_ Electric / Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor: _
Utilities: —Sewer —Septic
Lot No.38
Block No.
_ Pond
Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Charles N Marsland
Name:STOYAN STOYANOV
Address:7005 Willow Pine WAY
Company: EUROELIT INC
City: PORT ST LUCIE State: Fl-
Zip Code: 34986 Fax:
Phone No.617-513-3497
Address:6129 NW DROPHY AVE
City: PORT ST LUCIE State: ft
Zip Code: 34986 Fax:
Phone No 772-777-0010
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail EUROELITINC@YAHOO.COM
State or County License CFC1 429089
11 vdiue or consiruczion is csuu or more, a KtcuKutu Notice of commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.