HomeMy WebLinkAboutAlston-SLC permit app p1-1102ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: October 27, 2016 Permit Number:
.. :L
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 3901 Shoreside Drive Fort Pierce, FL 34949
Legal Description: TARPON FLATS SUBDIVISION (PB 69-27) LOT 10 (OR 3785-921)
Property Tax ID #: 1423-566-0013-000-5
Site Plan Name:
Project Name:
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
SEE ATTACHED
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to b rtormed under this permit — check all appy:
1_1HVAC Gas Tank I]Gas Piping _ Shutters ❑ Windows/Doors
Electric ❑ Plumbing Sprinklers Generator rI Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1,848.00
SFt. of First Floor: _
Utilities:Sewer F]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameArt & Laurianne Alston
Name: Daniel S. Richmond
Address:3901 Shoreside Drive
Company: WHITE ELECTRIC
City: Fort Pierce State:FL
Zip Code: 34949 Fax:
Phone No.407-973-4738
Address: 645 3rd Place
City: Vero Beach State: FL
Zip Code: 32962 Fax: 772-562-1410
Phone No. 772-567-2642
E-Mail:aggator70@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: info@whiteelectricvero.com
State or County License: EC13002005
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.