HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number:
ll.�o L�.(UL y
J U IWv
Planning and Development5ervices
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Address: 1820 S BROCKSMITH RD ,FORT PIERCE , FL 34945
Property Tax ID;
Site Plan Name:
Project Name: STEVE &EILEEN WOTHERS
10 Windows
New Electrical Meter Second Electrical Meter
Building Permit Application
Residential
Lot No.
Block No.
(Affidavit required)
Additional workto be performed under this permit—cneck all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 16,625
Sq. Ft. of First Floor:
Utilities: Sewer _Septic Building Height:
Pond
OWNERILESSEE
CQNTRACTj7�R:
- '�
Name STEVE & EILEEN WOTHERS
Name: DAN BECKNER
Address: 1820 S BROCKSMITH RD
Company: PARADISE EXTERIORS LLC
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
Phone N0.386-566-6958
Address:1918 CORPORATE DR
City: BOYNTON BEACH State:FL
Zip Code: 33426 Fax:
Phone No 561-732-0300
E-Mail: ILLLA6V atA CA2CVJ
Fill in fee simple Title Holder on nex page (if different
from the Owner listed above)
E-Mail permits(o)OO (3 ie
State or County License SCC131150472
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.