HomeMy WebLinkAboutTerhune Permit App Page 1_000156 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Island Kitchell & Bath
PROPOSED, IMPROVEMENT LOCATION;
Address: L(44a
Property Tax ID#: '�/�- �`a�-�}Q(o�- �� }-�p Lot No.
Site Plan Name: T.Qrh f Block No.
Project Name: TizA- .CA--,_ OLA.dEQ.
DETAILED DESCRIPTION OF WORK:
gvy- 0 t"A-b i
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: I
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: $ OCR Utilities: —Sewer _Septic Building Height:
Q1NiV /l CONTRACTOR:
Name Q$ Name:Justin Thiery
Address: Company: Island Kitchen & Batyh
City:—� S1z1L+r �dc-e-� Stater Address: 10875 S Ocean Drive
Zip Codetale67 Fax: City: Jensen Beach State-FI
Phone No. ?10' U_ 020 Zip Code: 34957 Fax:
E-Mail: / Phone No 772-237-7348
Fill in fee simple Title Holder on next page(if different E-Mail ikb.pm.assistant@gmail.com
from the Owner listed above) State or County License CBC1259508
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.