HomeMy WebLinkAboutAPP PG1All 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 Residential
2300 Virginia avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 6804 Wadsworth Terr, Port Saint Lucie, FL 34952
P ro pe rty Tax I D #: 3415-705-0036-000-8 Lot No. —
Site Plan Name: Block No
Project Name: Lynn & John 14 be) (tri L ILS
DETAILED DESCRIPTION OF WORK: I
Replacement 4 Windows and 1 Door L i Vp U r V i V e
New Electrical Meter Second Electrical Meter
(Affidavit required)
CONSTRUCTION INFORMATION: I
Adcitional work to be performed underthis 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:
Cost of Construction: $ 13,800
Sq. Ft. of First Floor:
Utilities: _Sewer Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Lynn & John Henricks _
Name: Stephen Lambert
Address: 6804 Wadsworth Terr
Company: Newsouth Window Solutions
City. Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No.(423)258-4439
Address:2526 Okeechobee Blvd.
City: West Palm Beach State:PL
Zip Code: 33409 Fax; 5614784100
Phone No 561-712-9000
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail permits-wbp@newsouthwindow.com
State or County License SCC13115f%3,af0'S
IT Value of construction IS LWU or more, a RtWROED Notice of Commencement Is required.
If value of HAVC Is S7,500 or more, a RECORDED Notice of Commencement is required.