HomeMy WebLinkAboutRevision - stairs FI L
OFFICE USE ONLY:
DATE FILED: PERMIT#
REVISION FEE: tri ® RECEIPT#T
PLANNING&DEVELOPMENT SERVICES
BUILDING&CODE REGULATION DIVISION RECEIVED
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982.5652 NOV U 5 2018
(772)462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS STLucie County, Permitting
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. .ST. LUCIE CO CERT. #:
_ BUSINESS NAME: Cq& (9
QUALIFIERS N Cd
ADDRESS: PdT
CITY: L STATE: r ZIP:
PHONE(DAYTIME): c 1 I FAX: '7 X
OWNER/BUILDER INFORMATION:
NAME: !./&'/C
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME: FAX:
ARCHITECT/ENGINEER INFORMATION: 1� n
NAME: /F C'a N ,t/ 5� e , I I 18 / 17
ADDRESS: �v 6)
CITY: STATE: ZIP:
PHONE(DAYTIME):. 77 2 FAX:
SLCCC. 9/23/09
FILE COIPY
Revised 06/30/17 0"'EVIS10"" 0