HomeMy WebLinkAboutRevision Form Fence Material Change - Polhemus 8.27.20 OFFICE USE ONLY:
DATE FILED: PERMIT# 2006-0182
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:
11001 S INDIAN RIVER DR, FT PIERCE FL 34982
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
PRODUCT CHANGED FROM WOOD PRIVACY FENCE TO PVC WITH LATTICE
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC062378 ST. LUCIE CO CERT. #: 24486
BUSINESS NAME: HOMECRETE HOMES INC
QUALIFIERS NAME: ROBERT CENK
ADDRESS: 2162 NW RESERVE PARK TRACE
CITY: PORT ST LUCIE STATE: FL ZIP: 34986
PHONE (DAYTIME): 772-873-6707 FAX: 772-873-6686
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME: FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): FAX:
SLCCC: 9123109
Revised 06130/17