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Building 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. z Ur /- Z po,Y12� _ 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.