HomeMy WebLinkAboutBuilding Permit App All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S 1`F,,L U!(I t
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXXXXXX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 449 Gokchoff Rd. #2 Ft Pierce FI
Property Tax ID#: Rx-10690181 Lot No.
Site Plan Name: Block No.
Project Name: David Adkins
DETAILED DESCRIPTION OF WORK:
Change electrical service from 150 amp to 200amp
New Electrical Meter Yes Second Electrical Meter No
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: 1344 Sq. Ft. of First Floor: 1344
Cost of Construction: $ 2400.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name David Adkins Name:Robert T Payuk
Address:409 Gokchoff Rd Company:Payuk Electric LLC
City: Ft Pierce State:_ Address:2501 SE Calusa ave
Zip Code: 34945 Fax: City: Port Saint Lucie State:FI
Phone No.(919) 306-2141 Zip Code: 34952 Fax: (772) 335-1639
E-Mail:davida0728@yahoo.com Phone No(772) 337-4197
Fill in fee simple Title Holder on next page(if different E-Mail bobtom12bellsouth.net
from the Owner listed above) 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.