HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/26/2022 Permit Number:
o WUE
O
tr Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Like for Like Panel Change
PROPOSED IMPROVEMENT LOCATION:
Address: 2456 Seneca Ave., Fort Pierce, FL 34946
Property Tax ID If: 1428-702-0028-000-4
Site Plan Name: SAN LUCIE PLAZA S/D - UNIT ONE:
Project Name:
DETAILED DESCRIPTION OF WORK:
- Remove and replace interior 100/125 amD Danel.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 22, 23
Block No. 1 D
Additional work to be performed under this permit —check all that apply:
_Mechanical—GasTank Gas Pi ping _Shutters _Windows/Doors ^Pond
Electric _ Plumbing
Total Sq. Ft of Construction: 1674
Cost of Construction: $ 2228-67
_Sprinklers
OWNER/LESSEE:
Name Roadrunner Property Solutions Inc
Address.2240 Johnson St Apt 108
City: Hollywood State:
Zip Code: 33020 Fax:
Phone No. (954) 270-8939
Generator _ Roof
Sq. Ft. of First Floor: 1674
Pitch
Utilities: —Sewer —Septic Building Height: 1 Story
E-Mail: roadrunnerprope rtysolution@gmail.corn
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
CONTRACTOR:
Name: Donald Green
Company: Don Green Electric
Address: 1305 W 1st St
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No (772) 418-5739
E-Mail Permits@dongreenelectric.com
State or County License EC13007447
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN ERANGIN EE R:
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
, Not Applicable BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated
I certify that no work or installation has commenced prior to the issuance of a permit.