HomeMy WebLinkAboutBuilding ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Sa r<LFcaY
L' i ° t� 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: structural repair bay window front of house and 2 windows back
PROPOSED IMPROVEMENT LOCATION:
5902 Killarney Avenue
Property Tax ID #: 1301-613-0027-000-4
Site Plan Name: James H.Raivelly
Project Name: Ralvelly
Lot No. 27
Block No. 137
I DETAILED DESCRIPTION OF WORK: I
house as per engineering drawings
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical
Electric
_ Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ $6,900.00
—Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof
on
Utilities: _Sewer Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name James H. Raively
Name: InlcluS dos Santos
Address:5902 Killarney Avenue
Company: Iga Carpentry Inc.
City: Fort Pierce Floncla State: _
Zip Code: 34951 Fax:
Phone No
Address: 661 e our
City: Pompano Beach State:_
Zip Code: Fax:
Phone Nog
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail vinicjussellsouth.net
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.