HomeMy WebLinkAboutScan from 2022-01-13 09_51_45 AMAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1211612021 Permit Number:
11' LLi .-
- 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: MichaelTreciuk
PROPOSED IMPROVEMENT LOCATION:
V
Address: 9650 s ocean Dr Apt 403 Jensen Beach, FL 34957
Property Tax ID #: 450261000330006 Lot No.
Site Alan Name: The Princess Condominium Block No.
Project Name: Michael Trociuk
DETAILED DESCRIPTION OF WORK:
Remove and Replace windows and dorrs with impact glass
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical T Gas Tank _ Gas Piping — Shutters x Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 7 i �� Utilities: —Sewer —Septic
Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name MichaelTrocluk
Name: Cliff Fischer
Address: 9650 s ocean or Apt 403
Company: Monterey Glass
City: Jensen Beach State: FL
Zip Code: 34957 Fax: 772-283-1919
Phone No. 772-5214250 E-
Address: 851 se Monterey Rd
City: Stuart State: FL
Zip Code: 34994 Fax: 772-283-1919
Phone No 772-521-4250
Mall: ctiff.fischer@yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail cliff.fischer@yahoo.com
State or County License 25686
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.