HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
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: 8305 Salerno Rd Fort Pierce, FL 34951
Property Tax ID #: 1301-606-0056-000-4
Site Plan Name:
Project Name: Thomas F McNally Jr
DETAILED DESCRIPTION OF WORK:
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check atl that apply:
Residential
Lot No. 8
Block No. 59
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1
Cost of Construction: $ ��I gl�
Sq. Ft, of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Thomas F McNally Jr
Name: Scott Berman
Address: 8305 Salerno Rd
Company: Florida Window &Door
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 772-370-4291
Address: 1125 N Dixie Highway
City: Lake Worth State: FL
Zip Code: 33460 Fax:
Phone No 561-340-4300
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail howard@floridawindowanddoor.com
State or County License 28576
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.
0
SUPPLEMENTAL CONSTRUCTION
DESIGNER/ENGINEER: _ Not
Name:
Address:
City: `
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Appli
I certify that no work or installation has comme
St. Lucie County makes no representation that
which is in conflict with any applicable Home 0
structure. Please consult with your Home Own(
In consideration of the granting of this request(
in accordance with the approved plans, the Floi
The following building permit applications are
accessory structures, swimming pools, fences,
WARNING TO OWNER: Your failure to R
improvements to your property. A
Lucie County and posted on the job.
with lender or an attorney before a
Signature of Owner/ Lessee/Cont or as Ag
STATE OF FLORIDA
COUNTY OF Z()a V)
Swor to (or affirmed) and subscribed before
Physical Prese ce or Online No p
thday of G E 20211
Thomas F McNally Jr
Name of person making statement.
Personally Known OR Produced Ider
Type of Identification.
Produc VVnke
(Signature of Notary Public- Sta rii,�Idya
Commission No. �r � �� (S C
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