HomeMy WebLinkAboutBuilding Permit AppDocuSign Envelope ID: 24AOOF89-BFDO-4E8B-BF01-F341511F87FB
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dare:
Permit Number:
L+ �CTL
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential YES
2300 Virginia Avenue, Fort Pierce FL 34962
Phone: (772) 462-15S3 Fax:(772)462-1579
PERMIT APPLICATION FOR: new in ground pool w/deCk
PROPOSED IMPROVEMENT LOCATION:
Address: 'A Efl EK) C.44-IL L-Al
Property Tax ID#: 45bq- 66I -D,06-1
Site Plan Name: OA 1<5 '�x� D SRN=vE2
Project Name: PxPr+� A�>zW PDOL
DETAILED DESCRIPTION OF WORK:
�G� I N Y a b-2aL)AD Pa a I_
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Mechanical Gas Tank
electric ✓Plumbing
Total Sq. Ft of Construction:
Cost of Construction: 5 50 q'-0.. ca
OWN ER/LESSEE:
Gas Piping _Shutters
Sprinklers _Generator
Sq. Ft. of First Floor:
Lat No. $
Block No. 0 f
Windows/Doors , Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
CONTRACTOR:
Name PA V:jr-D PyPE 2 I Name: WARREN SIGMAN
Address: la4 6DEn) A ftX- I-N Company: Nlc> Pbot- BuJ�LD&LS I-L-c
City Jp &SA4r, A e-Ax (s State: FI. Address q 5w
Zip Code: �4 q S-V Fax: City: STUART State: FL
Phone Na._ 1'--T 01- Lf $S - Lf %D!T 34997 Zip Code: Fax:
E-Mail: Phone No772-237-7665
Fill in fee simple Title Holder on next page ( if different E-MailOFFICE@PROPPOLBUILDERS.NET
from the Owner listed above) State or County License CPC 1 q 5' qLylP
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.
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