HomeMy WebLinkAboutBuilding Permit ApplicationAII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 312812022 Permit Number:
Building Permit Application
Planning ond Development Services
Building and Code Regulation Division
2j00 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1.553 Fax: (712\ 462-LSt8
Commercial Residential x
CBDG Funding
PERMIT APPLICATIoN FoR: rnstail new hot/cord washer valves/box
PROPOSED IM PROVEM ENT LOCATION :
Address:101020 S Ocean Blvd 208,4
Property Tax lD #:
Site Plan Name:
4502-802-0015-+0OO-3 Lot No.
Block No.
Project Name:Macdonald washer box install
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ pond
_ Sprinklers _ Generator Roof pitch_ Electric X Plumbing
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction: $ $1250.00 Utilities: Sewer _ Septic Building Height:
lf value of construction is 2500 or more, a RECORDED Notice of Comrn"ncemEnils reqrir"d.
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION IN FORMATION :
OWNER/LESSEE:CONTRACTOR:
Name KRISTEN MACDONALD
Address: 10102 S OCEAN DRIVE 2084
CitY: JENSEN BEACH State:FL
Zip Code: 34957 Fax:
Phone No. 7728785123 E-
lvail: njohns@mirandacompanies.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Don Miranda
Company: Miranda Plumbing & AC
Address: 750 NW Enterprise Dr Suite 100
City:PSL State:FL
Zip Code:34986 Fax:
Phone No 7728785123
E-Mail njohns@mirandacompanies.com
State or County License CFC1427227
lf value of HAVC is 57,500 or more, a RECORDED Notice of commencement is required.
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