HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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��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 CBDG Funding
PERMIT APPLICATION FOR: CIALINA RESIDENCE
PROPOSED IMPROVEMENT LOCATION:
Address: TBD BALSAM DR
Property Tax ID /:I: 3402-610-053 2-000-4 IRE UNIT 9 Lot No. 36
Site Plan Name: KEY WEST 3 BEDROOM Block No. 87
Project Name: SINGLE FAMILY HOMEI DETAILED DESCRIPTION OF WORK: I
3.2.2 SINGLE FAMILY HOME
New Electrical Meter X Second Electrical Meter (Affidavit required) I 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 iRoof 6/12 Pitch
Total Sq. Ft of Construction: 2643 Sq. Ft. of First Floor: 2396
Cost of Construction:$ 322,000 Utilities: -Sewer �Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name PAUL & SAMANTHA CIALINI Name: MARK MONT AL TO
Address: 520 SE MAPLE TER Company: PSL PROPERTIES, INC
City: PORT ST LUICE State: FL Address: 201 SW PSL BLVD-
Zip Code: 34983 Fax:City: PSL State: FL --
Phone No. 772-336-0050 E-Zip Code: 34984 Fax:
Mail: pslpropl@gmail.com Phone No 772-336-0050
Fill in fee simple Title Holder on next page (if different E-Mail PSLPROPl@G MAIL.COM
from the Owner listed above) State or County License CBC1263072
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.
6109 BALSAM DRXXXXXXXXXXXX