HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ` q 281 Permit Number:
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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
Site Plan Name: Block No. _
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Svpp1 Y and i nsta t► a 3o gallon eleCt-ric Water ►lea t� r.
CONSTRUCTION INFORMATION:
Additional worK toe er orme mit under t is per - c ec a tat appy:
HVAC ff Gas Tank []Gas Piping Shutters ❑ Windows/Doors
❑Electric Fv-(] Plumbing ❑Sprinklers Generator ❑_ Roof
Total Sq. Ft of Construction: _ Sq. Ft. of First Floor:
Cost of Construction: $ -L.0-1 0 . UO Utilities: oSewer oSePtic Building Height:
OWNER/LESSEE:
Name 5ttye.n tsusaf1 S bbl t "-
Add ress: `f lll 2( A irf-h U Y S t r e,+
City: H011 oioc>d StatE!:f L_
Zip Code: 3 0 2 1 Fax: N
Phone No. ISS lot
E -Mail: �J I A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: CRAIG MOBLEY
Company: SOUTHERN PLUMBING, INC
Address: 406943RD AVENUE
City: VERO BEACH State: FL
Zip Code: 32960 Fax: 772-978-9843
Phone No. 772-564-6980
E -Mail: SOUTHERNPLUMBING@AOL.COM
State or County License: RF0067100
i
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.