HomeMy WebLinkAboutBuilding Permit Application lltite Z 1 FeeYtie p TzeceitJ Permit
Planning &Development Services � (OM
Building& Code Regulations Division
2300 Virginia Ave.
Fort Pierce,FL 34982 [ =; "rd,z
T. �. (772)462-1553. Fax 462-1578
SPECIALTY PERMITAPPLICATION AUG 2 6
PERMITTING
St. Lucie County, FL
Electrical ® Phi m- bing E3 HVAC O Fence
E3 Shed* Demolition ® Gas 0 Siding
_See page-2_for—itast'ructions.arul additional-�n�er-/worrk retiu.ired for-s eciatej-pers>rirs— -- -- - __--. -- ---
1. Location/Site Address: =?C):;4: iV V�J 1iC,G�ltt� 11�- -�� WT Y l7
2. Parcel II)Number: '_703—C)O L S 000=3
3: Complete Description of Projector Work: TeMT) Powers for Construction
4. Owners Information 5, Contractors Information
Name: Standard .Pacific .of South Florida FL Reg/Cert#• EC13004128
Address: 825'Coral Ridge Drive County Cert#:'
City: Coral Springs State: FL Business Name: AC Quality Electric
Zip: 33071 Phone: 954-575-7337 Phone: 954-294-0101 Fax: 800-371-8434
6. Value of Construction, $ 250.00
0NN-'XF:R'S AMT DAV T: I citify that"AI of the infornidtion contained in this application is correct and that.all work will be dime in
compliance with all applicable laws reuulatirig cc5dstruction and zt.)ming_
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PRINT o �t.R ort CON RAc:rOR.NAIME S1cNA`RE10F OWNrlt OR CONTRACTOR
STATE OF[-LORIDA,WUNTY OF v^� ✓ter"
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S,OMMISSTON NUMBER � c 0,71lilI5S€oA#Flt 934
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'ALL RESIDENTIA7.,AND NONIZESIDE;NTIAl.;STRUiCTU CES ARE REQURIED TO.MEET ELEVATIONOR 18 I CIIES,AI34;VE TlIE t"..BOON OF THE ROAD,WHICHEVER IS AI'YIACABI:X. (see instructions on
reverse side of this,sheet)
Revised 03A;8.120t4
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QUALIFIER: GARY R. EVANS
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ELECTRICAL 5GHM7jLE 22 A.I.c 2'CONDUIT ELECTRICAL PANEL. "A"51ZING Ll1 w
OR= NOMENC-LATL32E BREAKM ARE 512E 4DC GRIPTION:
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0 .0735 KKV 5F X 5W 5F X"1.25 2.8 ,
3 d 3 I h'VAG 30 A(2P) 10-2 gb RECEPi'5 @ 1177A/1000 �Q
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4 fZECEPTS. 20A 1P 32-2 125A MAIN SCAN @ l KN X 125 J
ALJ..PORTABLE APPLIANC.FS,INCLLOINIS}^1/H.TO ® (1)HVAG�5 3KYV F.A. 5.3 Q
1 ANF 176,0NNEGr IF NOT WTHIN VIER OF ELECTRIC TOTAL $.18 KIN
10OAl2P PANEL= TOTAL/240 X 1000 3825 A
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