HomeMy WebLinkAboutREVISION FORM, Dock extension 11.3.20OFFICE USE ONLY:
DATE FILED:
REVISION FEE:
LOCATION/SITE
ADDRESS:
123 Queen Ann Ct
m Tierce n 34949
PERNUT #
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
FVJSTONS
6'X 30" Dock extension along seawall to permit # 2009-0633
CONTRACTOR INFORMATION:
STATE of FL REG./CERT: #: CGC1517960
BUSINESS NAME: Samson Marine Construction
QUALIFIERS NAME: Cebrone Atkins
ADDRESS: 402 Concha Drive
CITY: Sebastian STATE: Fl
PHONE (DAYTIME): 772 713-7803
OWNER/BUILDER INFORMATION:
NAME: Joe Valentine
ADDRESS:123 Queen Ann Ct
CITY: Ft Pierce
PHONE (DAYTIME: 407 3010156
STATE: FI
ARCHITECT/ENGINEER INFORMATION:
NAME: Paul Welch
ADDRESS: 1984 SW Biltmre St
CITY: Port St Lucie
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130/17
STATE: Fl
ST. LUCIE CO CERT. #:
FAX:
r AA:
FAX:
ZIP: 32958
ZIP: 34949
ZIP: 34984