HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
�Uo l1KU�U]]: �
0 �
IJ l!;-!I • u 1]j fRi �
Planning and Development Services
Permit Number:
Building Permit Application
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: P SL SPEC-5604 HICKORY RESIDENCE
PROPOSED IMPROVEMENT LOCATION:
Address: ' 5604 HICKORY DR -IRE UNIT 8 Property Tax ID #:
Site Plan Name:
3402-609-0238-000-9
PSL SPEC 5604 HICKORY DR
Project Name: PSL SPEC I DETAILED DESCRIPTION OF WORK:
4L3L2 SINGLE FAMILY HOME
New Electrical Meter YES Second Electrical Meter NO (Affidavit required) I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
�Mechanical -Gas Tank _ Gas Piping -Shutters .!.__ Windows/Doors
� Electric X Plumbing _ Sprinklers Generator X Roof --
Total Sq. Ft of Construction: 2396 Sq. Ft. of First Floor: 2396
X
Lot No. 19
Block No. 58 --
Porid -
Pitch
Cost of Construction:$ 252,000 Utilities: -Sewer _:,Septic Building Height: 6/12
OWNER/LESSEE:
Name Port St. Lucie Properties
Address: 201 SW PORT ST LUCIE BLVD
City : _i_ORT ST LUCIE
Zip Code: 34984 Fax:
Phone No. 772-336-0050
E-Mail: PSLPROPl@GMAIL.COM
State:�
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: MARK MONTALTO
Company: PORT ST LUCIE PROPERTIES
Address:
City: PSL
Zip Code:
Phone No
201 SW PSL BLVD
34984 Fax:
772-336-0050
E-Mail PSLPROPl@GMAIL.COM
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.
State:�
I
I