HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE�INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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u Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Electrical Re-energize Home.
PT ?F 3 ED € 11 R' VEM, NT �J ATIE�N° S
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Address: 12174 Riverbend Trc
Property Tax ID#: 44225020007.0008 Lot No. 3
Site Plan Name: 12174 Rivervend Block No.
Project Name: 12174 Riverbend
DETAILED �5CR1�?TICI {�'RK
Re-energize home meter set, meter-can inspection needed after stucco work performed
New Electrical Meter yeS�v Second Electrical Meter
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:$ 700 Utilities: —Sewer _Septic. Building Height:
C+1NNEl /LESEE NTRTb
Name Noel Perez Name:Gary Martinez
Address:737 SW PSL Blvd Company:Quality Construction Concepts LLC
City: PSL State:IL Address:4385 SW Shadd St
Zip Code: 34953 Fax: City: PSL State:FL
Phone No.9543253199 Zip Code: 43953 Fax:
E-Mail:noel@qualitytsi.com Phone N05616296421
Fill in fee simple Title Holder on next page(if different E-Mail garygcc@gmail.com
from the Owner listed above) State or County License CRC1 332581
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.