HomeMy WebLinkAboutRevision FormOFFICE USE ONLY:
DATE FILED:
REVISION FEE:
LOCATION/SITE
ADDRESS:
504 E Midway Road
PERMIT y 1908-0171
RECEIPT 0
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:
water heator, air aorndltloning equlpmont, and Impact wlndcrwa. Impact wlndowe were on the plan, trul chockod as "no' on the energy Inla.
CONTRACTOR INFORMATION:
STATE of FL REG./CERT" 4: CGC-1505229 ST. LUCIE CO CERT. #:
BUSINESS NAME: Matthew J. Callahan Construction
QUALIFIERS NAME: Matthew J. Callahan
ADDRESS: 7625 Vintage way
CITY: Port Saint Lucle STATE: Florida ZIP: 34986
PHONE (DAYTIME): 772.528. f 009 FAX:
OWNERBUILDER INFORMATION:
NAME: Matthew Callahan
ADDRESS: 504 E. Midway Road
CITY: Fart P16rce STATE: FL ZIP: 34962
PHONE (DAYTIME: 772.528.1009 FAX:
ARCHITECT/ENGINEER INFORMATION:
.NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123/09
Revised 06130117
STATE: ZIP:
FAX: