Loading...
HomeMy WebLinkAboutRevision 1 package_ 6/8/20 OFFICE USE ONLY: DATE FILED: _____________________________ PERMIT # _______________________________ REVISION FEE: ___________________________ 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 LOCATION/SITE ADDRESS: ___________________________________________________________________________________ ___________________________________________________________________________________ DETAILED DESCRIPTION OF PROJECT REVISIONS: ___________________________________________________________________________________ ___________________________________________________________________________________ CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: ______________________ ST. LUCIE CO CERT. #: ____________ BUSINESS NAME: _________________________________________________________________ QUALIFIERS NAME: ________________________________________________________________ ADDRESS: _______________________________________________________________________ CITY: _______________________ STATE: _______________ ZIP: _______________________ PHONE (DAYTIME): ________________________ FAX: _____________________________ OWNER/BUILDER INFORMATION: NAME: ____________________________________________________________________________ ADDRESS:__________________________________________________________________________ CITY: _____________________________ STATE: __________ ZIP: __________________ PHONE (DAYTIME: ___________________________ FAX: _____________________________ ARCHITECT/ENGINEER INFORMATION: NAME: ____________________________________________________________________________ ADDRESS: _________________________________________________________________________ CITY: _____________________________ STATE: ____________ ZIP: ___________________ PHONE (DAYTIME): ___________________________ FAX: ____________________________ SLCCC: 9/23/09 Revised 06/30/17 UD U.J ozr Ln 00 Z tn LO w U. I-,% I 00 0 LU CD LLI LA .., C13 u 4-0 X m vv 0 LL LU c c LU tko L 00 cu cul uLj Ln 0 uuW co CL J. LU L �� u j Ln 0 � LU F-Lu L .� W. CD LL LL � -anivucr..a� o.,.., y>, • \ Jv tJ ]11���y., �•�v-. �.-pL� NGI�.vl�rar i >M 1r.y OlG' iMy�l-V!M •NyW yV'j Llt4LKJ 7NlMf1J bV t3f1 t]N ifY i C bQ/,y07� '�Ja3�>d . ' 99107 ' � bM y.>s ani! u nuN'a4r �>-��81�9s, d Mme, sl qN.. �1,.,.«.,. 9N0 Sb131bM 8005 ZWN1fNY31' 01�nv►Ax» ul lsosE epwpj wau u„y„ y. 4UUM �Rl ' .a uv�.rou.. gni ti >^�w.v"o :�� - OOZ i1Vls % WN anuuy 410142EL AGN3M �a�GiOdi�JUi OIL W Ypt Ntne}13i �=�,— N3Q/S3df p3SOdOtId -� . _ _ M� �_ \ �0 _ - T . + L = `�u4 a1 s #$ cu + 57 o 9`��y� "�� SSP:$ 9"S1EC ii_� .: •'c N f Yah g qr �w.'". �` f s' 3 � ��P�� � v�-+P x m �< 1 a��as '4 .__ i / ! ~�F O~ t Q� J e -G 8 j>h� _ __ nu as � l��' � V Ij3i BN I V a, ^e �• ly 4� �� 9a sqQ ESf#d � '�?�°���°�,=�'�3�'."- J3 z" xg' i $ix` E4c p�?fir. {,���r8 ass a�� gF� E5 �� z.8$32a "��°gr4�c �5 _8 ull Pll � i � f .�� � _ _ - ss T� `? Fs 65 s 8 �g —`JR= ;�u, u� .gig 3q �s�k »t rk �� �` " r�Qx 3 � y � �" ;' rc t ES� Ctl a a, � `ns i�g W ;y N v" 3$ ,,, k ...j :. C'^� �.Je� ��Fj I �oo� J �� 41 s4y1� t ' O i �z� +yr �- 2�i` a+E ��'� � na y��L 1400 ] �'f, �yy+VpY° �z�� qq : �i;v GU[£y� 2� Hi j± 60C 74i 'J�'6• '. aIr °= ;Jx ~?Y ��' .. -Kri ?ftp e J3 _ �a it> r- irn� c6 I J1 • \ Jv J3 _ �a it> r- irn� c6 I J1