HomeMy WebLinkAboutimg445ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10 / cl 201-1
Permit Number:
Law
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 V
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: �l G0 S CiC ,`1 I a A \j C,n UP
Legal Description: P n('1 Pa r t< -- U n
I t- I U - P51 V- 130 LC: t l G
MAP 13A)IS
Property Tax I D #: 2
Lot No.�_
Site Plan Name:
Block No. ;
Project Name:
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
-SQ pPly an6 Ins, ratl a 4C;q'311cn
vN2it-cr heatcr (etec-rlc),
CONSTRUCTION INFORMATION:
itiona work to y]rTormed under this permit — c ec
HVAC Gas Tank ❑Gas PipingShutters
11 Electric 0 Plumbing Sprinklers
a appy:
Windows/Doors
nGenerator Roof
Total Sq. Ft of Construction: S. Ft. of First Floor: _
Cost of Construction: $ I 1 3 GO Utilities:11Sewer Septic Building Height: _
OWNER/LESSEE:
CONTRACTOR:
Names;) n c,t V,1 () C CS t
Name: CRAIG MOBLEY
Address: 4 1 y( -c 3N Hrrae—
Company: SOUTHERN PLUMBING, INC
City: ha I m C i 1-y State: FL_
Address: 4069 43RD AVENUE
Zip Code: <j C1 q C Fax:
Phone No. 5 U I - 313 - -7 -7 -1 -1
City: VERO BEACH State: FL
Zip Code: 32960 Fax: 772-978-9843
E -Mail: S t C
Phone No. 772-564-6980
Fill in fee simple Title Holder A next page ( if different
E -Mail: SOUTHERNPLUMBING@AOL.COM
from the Owner listed above)
State or County License. RF0067100
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.