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HomeMy WebLinkAboutREVISION FORM - 5/20/20OFFICE USE ONLY: DATE FILED: REVISION FEE: LOCATION/SITE ADDRESS: 5350 Slash Pine Trail PERMIT # 2001-0038 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 Fort Pierce, FL. 34951 DETAILED DESCRIPTION OF PROJECT REVISIONS: Revised calcs/manj to reflect the gas package that is being done CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CGC1524734 BUSINESS NAME: Groza Builders,lnc. QUALIFIERS NAME: John A. Groza ADDRESS: 511 SW Port Saint Lucie Blvd. CITY: Port Saint Lucie STATE: FL PHONE (DAYTIME): 772-336-7653 OWNER/BUILDER INFORMATION: NAME: Steven Dunn ADDRESS: 306 Lakeside Lane CITY: Addison PHONE (DAYTIME: STATE: VT ARCHITECT/ENGINEER INFORMATION: NAME: Christopher Beers ADDRESS: 5109 Grand Palmetto Way CITY: North Port PHONE (DAYTIME): 941-628-0634 SLCCC: 9/23/09 Revised 06/30/17 STATE: FL ST. LUCIE CO CERT. #: i to S 1`1 FAX: r rte: FAX: ZIP : 34953 ZIP: 05491 ZIP: 34291