HomeMy WebLinkAboutREVISION FORM-GardnerOFFICE USE ONLY:
DATE FILED: 10/23/2020
REVISION FEE:
LOCATION/SITE
ADDRESS:
5110 Dunn Road
PERMIT # 2003-0685
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
Ft. Pierce, FL 34981
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
revised calcs with 2-zones
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC1524734
BUSINESS NAME: Groza Builders,inc.
QUALIFIERS NAME: John A. Groza
ADDRESS: 511 SW PSL Blvd.
CITY: Port Saint Lucie STATE: FL
PHONE (DAYTIME): 772-336-7653
OWNER/BUILDER INFORMATION:
NAME: Gary Gardner
ADDRESS:5515 NW Ligon CIR
CITY: PSL
PHONE (DAYTIME: 972-539-9851
STATE: FL
ARCHITECT/ENGINEER INFORMATION:
NAME: Chris Beers
ADDRESS: 5109 Grand Palmetto Way
CITY: North Port
PHONE (DAYTIME): 941-628-0635
SLCCC: 9123109
Revised 06130117
STATE: FL
ST. LUCIE CO CERT. #: 16814
FAX:
r ran.
FAX:
ZIP: 34953
ZIP: 34983
ZIP: 34291