HomeMy WebLinkAboutRevision OFFICE USE ONLY:
DATE FILED: PERMIT# OQ
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:
(rc�rt -�'�� "RL f
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: E f ST. LUCIE CO CERT. #:
BUSINESS NAME:
QUALIFIERS NAME? �,� r, a
ADDRESS: cY'e_
CITY: STATE: ( ZIP: 3(1,923
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: 9123109
Revised 06130117
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ELECTRICAL RISER DIAGRAM
NOT TO SCALE
For any other electrical applications apply Florida Building Code 107.3.5)Electrical
1. Wiring;Services;Feeders&Branch Circuits;Over Current Protection;Grounding;Wiring Methods&Materials;GFCI
2. Equipment i
3. Special Occupancies
4. Emergency System's
5. Communication Systems
6, Low Voltage
7. Load Calculations ,
8. Design Flood Elevation
U Underb ound
Overhead
I
1.Size Service:
I2.Conductor Size: CU ALUM
3.a.Meter Main:
b.Meter Can Only:
(11,6 k(�-_
I
I �
#4
I
I[] #2
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I[] Other CAN RUCTION TYPE:
I Residential
{ ❑ Mobile Home
Dual Electrodes or Test Required
[] New Installation
'I Old Installation
I
Rev.529112
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