HomeMy WebLinkAboutElectric-plan-Revision _6/9/20 OFFICE USE ONLY:
DATE FILED: _____________________________ PERMIT # _______________________________
REVISION FEE: ___________________________ RECEIPT # ______________________________
______________________________________________________________________________________________
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
___________________________________________________________________________________
___________________________________________________________________________________
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
___________________________________________________________________________________
___________________________________________________________________________________
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: ______________________ ST. LUCIE CO CERT. #: ____________
BUSINESS NAME: _________________________________________________________________
QUALIFIERS NAME: ________________________________________________________________
ADDRESS: _______________________________________________________________________
CITY: _______________________ STATE: _______________ ZIP: _______________________
PHONE (DAYTIME): ________________________ FAX: _____________________________
OWNER/BUILDER INFORMATION:
NAME: ____________________________________________________________________________
ADDRESS:__________________________________________________________________________
CITY: _____________________________ STATE: __________ ZIP: __________________
PHONE (DAYTIME: ___________________________ FAX: _____________________________
ARCHITECT/ENGINEER INFORMATION:
NAME: ____________________________________________________________________________
ADDRESS: _________________________________________________________________________
CITY: _____________________________ STATE: ____________ ZIP: ___________________
PHONE (DAYTIME): ___________________________ FAX: ____________________________
SLCCC: 9/23/09
Revised 06/30/17
SLC-1910-0100
6789 S. Indian River Drive
Fort Pierce, FL 34982
Electrical revision from a seperate meter into a single meter
N/A N/A
OWNER BUIDER
Travis Haag
6789 S. Indian River Drive
Fort Pierce Florida 34982
561-891-8075 N/A
I
n
t
e
r
n
e
t
Pa
l
m
Tr
e
e
Pa
l
m
Tr
e
e
Pa
l
m
Tr
e
e
Pa
l
m
Tr
e
e
Pa
l
m
Tr
e
e
Pa
l
m
Tr
e
e
In
t
e
r
n
e
t
Internet
Wa
t
e
r
L
i
n
e
W
a
t
e
r
L
i
n
e
FP
L
P
o
w
e
r
P
o
l
e
+
Tr
a
n
s
f
o
r
m
e
r
Generator
Main Feed to House
Se
r
v
i
c
e
Me
t
e
r
Me
t
e
r
20
0
A
20
0
A
Ex
i
s
t
i
n
g
M
a
i
n
F
e
e
d
t
o
H
o
u
s
e
(U
n
d
e
r
g
r
o
u
n
d
)
NE
W
-
M
a
i
n
F
e
e
d
t
o
B
u
n
k
e
r
(U
n
d
e
r
g
r
o
u
n
d
)
~1
9
5
'
-
2
"
C
o
n
d
u
i
t
4/
0
-
4
/
0
-
2
/
0
G
r
a
y
S
t
r
a
n
d
e
d
A
L
S
E
U
C
a
b
l
e
~1
9
5
'
-
2
"
C
o
n
d
u
i
t
4/
0
-
4
/
0
-
2
/
0
G
r
a
y
St
r
a
n
d
e
d
A
L
S
E
U
C
a
b
l
e
~4
0
'
4
0
0
A
Wi
r
e
?
?
Us
e
E
x
i
s
t
i
n
g
Un
d
e
r
g
r
o
u
n
d
f
e
e
d
t
o
ho
u
s
e
Re
m
o
v
e
e
x
i
s
t
i
n
g
m
e
t
e
r
,
i
n
s
t
a
l
l
ju
m
p
e
r
a
n
d
c
o
v
e
r
t
o
p
r
o
v
i
d
e
el
e
c
t
r
i
c
t
o
t
h
e
h
o
u
s
e
.
40
0
A
m
p
S
e
r
v
i
c
e
f
r
o
m
F
P
L
po
l
e
t
o
s
u
p
p
l
y
s
i
n
g
l
e
m
e
t
e
r
fr
o
m
u
n
d
e
r
g
r
o
u
n
d
p
o
w
e
r
*F
u
t
u
r
e
C
o
n
d
u
i
t
*
Tr
a
v
i
s
H
a
a
g
67
8
9
S
.
I
n
d
i
a
n
R
i
v
e
r
D
r
i
v
e
Fo
r
t
P
i
e
r
c
e
,
F
L
3
4
9
8
2
Pe
r
m
i
t
#
S
L
C
–
19
1
0
-
0
1
0
0
Internet