HomeMy WebLinkAboutREVISIONOFFICE USE ONLY: add I � LU
DATE FILED: V lI PERMIT # ? w - O 1—[ O
REVISION FEE: `1S•00 RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-6662
(772) 462-1663
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
DETAILED DESCRIPTION OF
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: 3) 765 ST. LUCIE CO CERT. #: 3 a 5-7
BUSINESS NAME: C_,r,I S
QUALIFIERS NAME: C G IT
ADDRESS: B lV
CITY: 6g'+ STATE: ZIP:
PHONE (DAYTIME): % FAX:
OWNER/BUILDER INFORMATION:
NAME: joo Cp i .e
ADDRESS: 941 8I /Nmdc)cej D�`�eS rota
CITY: foc-E Pierce STATE:
PHONE (DAYTIME: 77a 3I-1( - O a 6 6
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130/17
ZIP: Zq 9q5"-
BOARD OF
COUNTY
COMMISSIONERS
TANK
SIZE
GAS PIPING SCHEMATIC
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[L4
[A1] [A3]
TANK SIZE: Ono Q ALS.
APPLICANCE - TYPE/SIZE
Al
A2
A3
A4
A5
A6
[A4]
L9
] J[L10]
[AS]
J; Cv vC, BTU
BTU
BTU
BTU
BTU
BTU
PIPING LENGTH & SIZE
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L1 %y
FT.
INCH DIA.
L2
FT.
INCH DIA.
L3
FT.
INCH DIA.
L4
FT.
INCH DIA.
L5
FT.
INCH DIA.
L6
FT.
INCH DIA.
L7
FT.
INCH DIA.
L8
FT.
INCH DIA.
L9
FT.
INCH DIA.
L10
FT.
INCH DIA.
L11
FT.
INCH DIA.
L12
FT.
INCH DIA.
Revised 7/22/14
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
(PIPE SIZE WAS TAKEN FROM
THE 2044_FBC FUEL GAS CODE -
TABLE-402-(___J)
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Website: www.stiucieco.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578
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