HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _______ _ Permit Number: ________ _
Building Permit Application
Planning and Development Services Residential xBuilding and Code Regulation Division Commercial -----------
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICAT ION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 4100 N Highway A1A 343
Property Tax ID#: 1423-502-0028-000-5 Lot No. ___ _
Site Plan Name: __________________________ _ Block No. __ _
Project Na me: __________________________________ _
I DETAILED DESCR( PTION OF WORK:
New Electrical Meter ____ Second Electrical Meter _____ _
I CONSTRUCTlON INFORMATION:
Additional work to be performed under this permit-check all that apply:
Shutters _ Windows/Doors Pond _Mechanical
Electric
Gas Tank
_Plumbing
_ Gas Piping
_ Sprinklers Generator Roof ____ Pitch
Total Sq. Ft of Construction: _______ _ Sq. Ft. of First Floor: _________ _
Cost of Construction:$ l.A. :?,�) -Utilities: Sewer _ Septic Building Height: ___ _
OWN ER/LESSEE:
Name Ron Ferrell
Address: 4100 N Highway A1A Apt 34 3
City: Hutchinson Island
Zip Code: 34949
Phone No. 609 -780-1848
E-Mail: ronf5757@gmail.com
Fax:
State:
Fill in fee simple Title Holder on next page ( if dif ferent
from the Owner listed above)
CONTRACTOR.:
Name: Scott Berman
Company: Florida Window & Door
Address: 1125 N Dixie Highway
City: Lake Worth
Zip Code: 33460 Fax:
Phone No 56 1-340-4300
E-Mail howard@floridawindowanddoor.com
State or County License 28576
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.
State:�