HomeMy WebLinkAboutRevision 9.24.20OFFICE USE ONLY:
DATE FILED: 10/23/2020
REVISION FEE:
LOCATION/SITE
ADDRESS:
2151 nettles Blvd Jensen beach
PERMIT # 2004-0614
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
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Roof underpayment product revision
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME: Mel Ry construction
QUALIFIERS NAME: Mack Matos
ADDRESS:
CITY: STATE:
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
15,111 t1le a, I I I pro yj 11110" lei A N M 10110] IN OF 115,1110 Cole
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME)-
SLCCC.- 9123109
Revised 06130117
STATE:
ST. LUCIE CO CERT. #:
r AA:
ZIP:
m
ZIP: