HomeMy WebLinkAboutRevisions OFFICE USE ONLY: �}
DATE FILED: `"!• / _ PERMIT# / 019 `�-'
REVISION FEE: c� ' d b RECEIPT# 09
PLANNING& DEVELOPMENT SERVICES
BUILDING&CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
t � ' � u FORT PIERCE,FL 34982.5652
(772)462.1553
IsIoN
APPLICATION FOR BUILDING P MlI S
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:ROLA k BO 13- U I
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
crcLfr
�'Y{Y1�-�- -tom �Y etCC.C�`c�C�9.�CXl 2 �.�.�'1cx..�Y•`C'.� Y"lc��;y
4
if-CA
CONTRACTOR INFORMATION:
STATE of FL REG./CERT.#: ST. LUCIE CO CERT. #: \�ocE -ill
BUSINESS NAME: ' Yl ,Ir Ce��
QUALIFIERS NAME I C`Vl()\,�- \ �r)6GG:C Y -Un,
ADDRESS:
CITY: Q)y- Sj- L L C_� STATE: l6C.2Q CA ZIP:
PHONE(DAYTIME):117--CkI i . JC 1E�, FAX: -112. •'�l i OC790
OWNER/BUILDER INFORMATION:
NAME:�7,0r�dCt am� ( t C
ADDRESS:"12AU wn�dSanc �I1r
CITY: I STATE: r-L, ZIP:
PHONE(DAYTIME:-F}-2 -u-,7, - ' -n FAX:
ARCHITECTIENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): FAX:
ST.LUCIE COUNTY
BUILDING DIVISIONimp"
SLCCC: 9/23/09 REVIEWEDIN
�� r 1 t 4
Revised CEN97ED BYO°gip E
DATE OCT 08 2018
PLANS AND PER IT
MUST BE KEPT ON JOB OR
NOINSPECTIONWILLBEMADE Pe�'4'� inti] Department
St. Lucie County, FL