HomeMy WebLinkAboutpermit info12/27/2017
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ; L- ' L 1 � `i —+ Permit Number:
s
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
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential
Address: C u l K A l /-\ T'`tC
Legal Description: bLi N NlA4\1r2 ( Cc DEQ TC '-tier'; , i rt "� I i'` It VytiC5
(CZ IC -1
Property Tax ID #: LCLot No.
Site Plan Name: Block No.
Project Name: _
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
iNt vv;iII Pply '�l Ci In t01t 1.1 4C ioc,n elc; tr;c ov;;ce- r Y)e ititc-
HVAC Ll Gas Tank
11 Electric 0 Plumbing
under this permit — check all that apply:
❑Gas Piping L__IShutters a Windows/Doors
❑Sprinklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ ; , 22 4 CC'
Sq. Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 1;c ,l J IC( 1 Te HC l i n) (1
Name: CRAIG MOBLEY
Address: cf,C'q.1T��: r r� 17 r
Company: SOUTHERN PLUMBING, INC
Address: 4069 43RD AVENUE
City: _„ i t nt- p,,( State:I�LN
Zip Code: `-)") I I C; Fax:N j ik
City: VERO BEACH State: FL
Phone No. L• 5 1 -4 12 - C `}
Zip Code: 32960 Fax: 772-978-9843
E -Mail: iia A
Phone No. 772-564-6980
Fill in fee simple Title Holder on next page ( if different
E -Mail: SOUTHERNPLUMBING@AOL.COM
State or County License- RF0067100
from the Owner listed above)
�a v4av„ yr Fr,vrr, a rcrwKUCU ivouce or wmmencement is requires.
https://mail.google.com/mail/u/0/?tab=wm#sent/16079f84def5ca0b?projector=1 1 /1