HomeMy WebLinkAbout5851 Summerfield Ct 46B updatedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I 13,a1_ Permit Number:
``L:, Ll CILL -'-
c Building Permit Application
Planning and Development Services
Commercial Residential
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: e f
PROPOSED IMPROVEMENT LOCATION:
Address:
--
/� No.
3 iU 5D 01 000 3 Lot
Property Tax ID #:
Block No.
Site Plan Name:
p
] I A i Q 1111 —
Project Name:'of\
DETAILED DESCRIPTION OF WORK:
ly
New Electrical Meter second Electrical Meter. (Affidavit required)
CONSTRUCTION INFORMATION: --.
Additional work to be performed under this permit- check all that apply:
_Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Mechanical
_ Electric %, Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: -
Cost of Construction: $ 1 u Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sl R►'1 I
Name: ��
Company: ld1 I
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Address:
QR State: E6
Address :�'� �� EIrYODt 7
city:
ZipCode:3a Fax:
City: State: -
v � 3,�(,GJ3
Zip Code: Fax:
Phone No.
7^ 7
Phone No 77 al
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail } t,J
from the Owner listed above)
State or County License l�
N value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
RECORDED Notice of Commencement is required.
if value of HAVC is $7,500 or more, a