HomeMy WebLinkAboutBrown Revised Site SurveyOFFICE USE ONLY:
DATE FILED: 9/14/2020
REVISION FEE:
LOCATION/SITE
ADDRESS:
12387 S. OCEAN RIVER DR.
PERMIT # 2009-0138 Pin# 685
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
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
TEEING INTO THE EXISTING L.P. TANK AND RUNUP TO 75' OF GAS LINE TO POOL HEATER LOCATION W/ CONNECTION OF POOL HEATER
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
ST. LUCIE CO CERT. #:
W.'",
ZIP:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME: FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
STATE:
FAX:
ZIP:
' ' l ea 10 Tree m ro
OBJM sasaz axr 90ASAUAS UN" MOISSSSO?1d
' ns�xor8 c .cnosur mTg v T T, ri1.�T?.�1VN
iL■t 1 1 `ill ! YJ'_II l 1Q Q�7 ■I
Al 1
,.11 v IS
■ ■ n n n n ■ � , / /1, � '
$1''�""
.sad
■0 \ O.G
" os-rs m oars iu acre •
r J oe-aa-8o au►BR a[m ^ o
rl _ 1fH1 Lib 11�71e i °�