HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ____________________ Permit Number: _____________________
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:
PROPOSED IMPROVEMENT LOCATION:
Address: __________________________________________________________________________________________
Property Tax ID #: _________________________________________________________________ Lot No.__________
Site Plan Name: __________________________________________________________________ Block No. _______
Project Name: ______________________________________________________________________________________
DETAILED DESCRIPTION OF WORK:
_________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
New Electrical Meter __________ Second Electrical Meter_______________ (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
__Mechanical __ Gas Tank __ Gas Piping __ Shutters ___ Windows/Doors ___ Pond
__ Electric __ Plumbing __ Sprinklers __ Generator ___ Roof __________ Pitch
Total Sq. Ft of Construction: ___________________ Sq. Ft. of First Floor: _________________________
Cost of Construction: $ _____________________ Utilities: __ Sewer __ Septic Building Height: __________
OWNER/LESSEE: CONTRACTOR:
Name__________________________________________
Address: ________________________________________
City: _________________________________ State: ___
Zip Code: ______________ Fax: ____________________
Phone No.______________________________________ E-
Mail:________________________________________
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: ________________________________________
Company: _____________________________________
Address: _______________________________________
City: ______________________________ State: ____
Zip Code: ________________ Fax: __________________
Phone No______________________________________
E-Mail_________________________________________
State or County License___________________________
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.
Douglas E. Roe
Code Red Roofers Inc.
3441 SE Slater St
Stuart
34997
772-287-2829
CCC1326574
permits@coderedroofers.com
FL
X
Reroof
7709 Wexford Way, Port St. Lucie
3321-801-0050-000-9
Statler - 7709 Wexford Way
Remove existing roof material to deck; renail to code. Install SA Underlayment and tile
6/12
7000
66,500
Scott Statler
Port St Lucie FL
34986
724-787-1449
progolfer@pga.com
7709 Wexford Way