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HomeMy WebLinkAboutBuilding Permit Application ARAPPLICABLE INFO MUST Be COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - Permit Number:
Building Permit Application
Planning and aevelooment5ervices
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
_. 77
,,PROPOSED IMPROVEMENT CQCATION:.
Address: 188 Nettles BLVD,Jensen Beach,FL 34957
Property Tax ID if:4502-501-0374-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Ames Residence
DETAILED DESCRIPTIOPU OF Vt10RK — - 1
Remove existing pedestal,build rack and install new RV panel.
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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 _Pond
_ Electric _Plumbing —Sprinklers _Generator Roof Pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor.
Cost of Construction:$ 1600_ Utilities: Sewer _Septic Building Height:
r01NNER/LESSEE; C©NTRA_CTOR:
Name Patricia Ames Name:Donald Green
Address-188 Nettles BLVD __ Company.Don Green Electric
City:Jensen Beach State:_ Address:1305 W 1 st St
Zip Code:34957- Fax City: Fort Pierce State:FL
Phone.No, (352)262-6528 Zip Coder 34982 Fax:
E-Mail:patsyames@gmaii.com Phone No(772)418-5739 _
Fill In fee simple Title Ffolder on next page(if different E-Mail permits@dongreenelect(c.com
from the Owner listed above) State or County License EC13007447
If value of construction Is 2500or more,a RECORDED Notice of Commencement is required.
If:value of HAVC Is$7,500 or.more,a RECORDED Notice of Commencement is required.