HomeMy WebLinkAboutRevision FormOFFICE USE ONLY:
DATE FILED:
REVISION FEE:
PERMIT #
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:
2241 NW Seagrass Dr Palm City 34990
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
There has been a change in the tile we are using. The manufactor is no longer Boral, it will be Eagle - Be[ Air tile. We are also
using the foam down system in which I attached the product NOA.
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CCCO29554
BUSINESS NAME: Roofing Systems of Florida
QUALIFIERS NAME: Arthur Frank
ADDRESS: 583 105th Ave N Suite 9
CITY: Royal Palm Beach STATE: FL
PHONE (DAYTIME): 561-795-5566 _
OWNER/BUILDER INFORMATION:
NAME: Peter Pierson
ADDRESS:2241 NW Seagrass Drive
CITY: Palm City
PHONE (DAYTIME:
STATE: FL
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
STATE:
ST. LUCIE CO CERT. #:
M
II
FAX:
ZIP: 33411
ZIP: 34990
ZIP: