HomeMy WebLinkAboutAPPROVED Revision Form OFFICE USE ONLY:
DATE FILED: PERMIT#
REVISION FEE: 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:
11903 S Indian River Dr,Jensen Beach FL
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Change permitted metal roof brand from Metal Sales to Extreme.Product approval and low slope letter provided.
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CCC1326574 ST. LUCIE CO CERT. #:
BUSINESS NAME: Code Red Roofers, Inc
QUALIFIERS NAME: Douglas E Roe
ADDRESS: 3341 SE Slater St
CITY: Stuart STATE: FI ZIP- 34997
PHONE (DAYTIME): 772-287-2829 FAX:
OWNER/BUILDER INFORMATION:
NAME: Frank Pagan&Christa H Pagan
ADDRESS: 11903 S Indian River Dr
CITY: Jensen Beach STATE: FL ZIP: 34957
PHONE (DAYTIME: 772-878-6528 FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): FAX:
SLCCC: 9123109
Revised 06130/17