HomeMy WebLinkAboutBuilding Permit Application Page 1ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I I2.4 11
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 Commercial Residential
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 610,1 Folrr Pi er &oulevard
Legal Description: La K.e W Ood
SLtG q 3 LOT 1 MAP ISIOZ
OL 7131)
Property Tax ID #: 1 30 1 , lD O$ - 01984 ' OUO _ 4 Lot No. 15
Site Plan Name:
Block No. q 3 _
Project Name:
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
Supply and iwstoII a 5o Ylkon
h ea t-er .
fiat, elect-ricwat-e,r
CONSTRUCTION INFORMATION:
Additional worK toffr Orme un er t is permit — c ec
❑HVAC Gas Tank []Gas Piping
11 Electric 21PlumbingSprinklers
a tat appy:
❑_ Shutters Windows/Doors
❑Generator ❑ Roof
Total Sq. Ft of Construction: _ Sq. Ft. of First Floor:
Cost of Construction: $ _1 OCiO.00 Utilities:[]Sewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name uF33aloa a
Name: CRAIG MOBLEY
Address: U For t Va rd
Company: SOUTHERN PLUMBING, INC
city: Fort- P i erce. State: F l-
Address: 4069 43RD AVENUE
-BEACH
Zip Code: 34C15 Fax: N I A
Phone No. NJ j A
E -Mail:_
City: VER
State: FL
Zip Code: 32960 Fax: 772-978-9843
Phone No. 772-564-6980
Fill in fee simple Title Holder on 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.