HomeMy WebLinkAboutKillday Shari - Shawn Signed Building Permit CPSL (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
U L 1 I F-)Z -` Building Permit Application
Planning and Development Services
Commercial Residential
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
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Address: 909 Jackson Way, Fort Pierce, FL 34949
Lot No.
Property Tax ID #: 1423-808-0002-000-6
Block No.
Site Plan Name: COASTAL COVES UNIT NO. 2 (PB 69-12) PARCEL K2 (0.48 AC - 20,909 SF) (OR 3686-1910)
Project Name: Sheri & Keith Killda
DETAILED DESCRIPTION OF WORK:
(Affidavit required)
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _
_ Electric _ Plumbing _ Sprinklers —Generator
Total Sq. Ft of Construction: / 3 Oc Sq. Ft. of First Floor:
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Cost of Construction: $ ao° o e
Windows/Doors _ Pond
X Roof Pitch
Utilities: _Sewer _Septic
OWNER/LESSEE:
Name Shari & Keith Killday
Address: 909 Jackson Way
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No. E
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name: Shawn Wolfe
Company: Three Guys Roofing
Address: 2740 SW Martin Downs Blvd. #101
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No 561-907-8422
E-Mail shawn@threeguysroofing.com
State or County License CCC1330245
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.