HomeMy WebLinkAboutBuilding Pernit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04//1312020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION.
Address: 148 Pepper Lane Jensen Beach, FL 34957
Residential xxxx
Property Tax I D #: 4511-503-0032-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Panel change
DETAILED DESCRIPTION OF WORK:
Change out Challenger panel like for like
New Electrical Meter No Second Electrical MeterNo
j CONSTRUCTION INFORMATION -
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping Shutters _ Windows/Doors _
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq_ Ft. of First Floor:
Cost of Construction: $ 2,200.00 Utilities: —Sewer —Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Charles Matson
Name:William J. Dean
Address:148 Pepper Lane
Company: Specialty Wiring LLC
City: Jensen Beach State:
Zip Code: 34957 Fax:
Phone No.609-384-6608
Address:4816 SE Capstan Ave.
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone N0352-727-2087
E-Mai I: dudester239@yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MailSpecialtywiring94@yahoo.com
State or County License EC1 3009174
It value or construction is Z50D 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.