HomeMy WebLinkAboutWater Heater applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: l lLQ I ig Permit Number:
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: 'zi 1=111 r� w
Legal Description: CODCK I f) 19 it A U* LP
Property Tax ID #: 230 GO - OMLQ " Mn - 1 Lot No. Lp
Site Plan Name: Block No. A
Project Name:
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
kplace \\0 n
CONSTRUCTION INFORMATION:
Additional work toff
r Orme under this permit -check a appy:
HVAC Gas Tank F]Gas Piping M
ShuttersWindows/Doors11 Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ ! _ ()M
Sq. Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name G i I
Name: 1 n 1
Address: Z, 1 U.)(XdCYCS+ Dr.
Company:tB_t'l�iamil'1 0i(ew`S Plci�'1(ib•
City: . YieffcCe State: FL.
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Zip Code: NC1k S_ Fax: "1A
Phone No. _n7 - [0-I LOLP
Address: 1S9(Q5 iiA)f!S-h=JL LCUNC
City: F:,+. Nel(C-e 11
State: FL
Zip Code: 3'C"!,4S- Fax: M la
Phone No. `1-7 2-" ?-1 -7 - _2_q LQZ
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: S i
State or County License: C,FC.,1142aLl
11 adiue ui LUnbLrUCCIVn is ac�uu or more, a rctcurcutu Notice or commencement is required.
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