HomeMy WebLinkAbout10916696_REVISION_DempseyOFFICE USE ONLY:
DATE FILED: _
REVISION FEE:
1. LOCATION/S�jF 1 Palmetto Dr
ADDRESS:
PERMIT # 1908-0317
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 FAX (772) 462-1578
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Revision to clarify that the front door is not being replaced.
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC 1522717Ste. LUCIE COUNTY CERT. #: 31032
BUSINESS NAME:The flunic At Home Nervices
QUALIFIERS NAME: Roberto anc ez
ADDRESS: 6500 NW 12TH Ave. Suite 110 FE
CITY: Port Eauderdale STATE: ZIP:
PHONE (DAYTIME): - xt 357 FAX:
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE:
5. ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
Revised 07/22/2014
STATE:
STATE:
FAX:
FAX:
ZIP:
ZIP:
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