HomeMy WebLinkAboutRevisionOFFICE USE ONLY:
DATE FILED: 3/2 S'
REVISION FEE: % S�
PERMIT #
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652 RECEIVED
(772)462.1553
APPLICATION FOR BUILDING PERMIT REVISIONS MAR 2 5 1010
PROJECT INFORMATION Permitting Department
St. Lucie County
LOCATION/SITE
ADDRESS:
I 0 -? 5 1 Oceu
5 aGh t%L '3 �i�f 41
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESSNAME: M,,.(
QUALIFIERS NAME: OA
ADDRESS: 1696 7 S
CITY: /�/ A St /1 � A c (i
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
TE: 0: c ZIP: 3 ef
FAX:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME: _
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
FAX:
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ZIP:
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SLCCC: 3'ff In
Revised 0616/3011/17 ' �
OFFICE USE ONLY:
DATE FILED: / a PERMIT #
REVISION FEE: AY RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
V72) 462.1553 RFCEIyFD
APPLICATION FOR BUILDING PERMIT REVISIONS MAR 2 51010
PROJECT INFORMATION PQ St. co,artmeet
LOCATION/SITE
ADDRESS:
o 5 1 OCBA ✓ A13
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION: d y
STATE of FL REG./CERT. #: ST. LUCIE RT. #:
BUSINESS NAME: Q-vr
QUALIFIERS NAME: 6
ADDRESS: 16 r
CITY: �i ,A u n 4/q c 4 STATE: tGt ZIP: 3 "I
PHONE (DAYTIME): FAX:
OWNER/BUILDER INFORMATION:
NAME: _
ADDRESS:
CITY:
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
STATE:
FAX:
MAA
ZIP:
y"r
OFFICE USE ONLY:
DATE FILED:
REVISION FEE:
LOCATION/SITE
PERMIT # ,2MI- C 3 5 6
RECEIPT # If #1 142
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
S 66&An II)2 P13
DETAILED DESCRIPTION OF PROJECT
CONTRACTOR INFORMATION:
STATE of FL REG./CERT #:
BUSINESS NAME: N;
QUALIFIERS NAME: fidic
ADDRESS: f0*Ld 7 S
CITY: !!:Sp,nsu o STATE:
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
RENTAIxl
CITY:
YTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME: T-3T
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
ST. LUCIE CO CERT. #:
FAX:
FAX:
FAX:
ZIP:
ZIP:
ZIP:
SLC3FILE COPY REVVI-310N
Revisseedd06106/30/17