HomeMy WebLinkAboutDoc Nov 06, 2020, 1545OFFICE USE ONLY:
DATE FILED:
REVISION FEE:
PERMIT # 2009-0103
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:
504 E. Midway Road, Fort Pierce, FL 34982
PERMIT NUMBER 2009-0103
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Instead of soil poisoning beneth the concrete slab, Bora Care will be used to treat the slab and building
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. M
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
ST. LUCIE CO CERT. #:
FAX:
ZIP:
NAME: Mathew Callahan
ADDRESS: 504 E. Midway Road
CITY: Fort Pierce STATE: fl ZIP: 34982
PHONE (DAYTIME: 772.528.1009 FAX: 772.672.4722
ARCHITECT/ENGINEER INFORMATION:
NAME: Paul Welch, Inc.
ADDRESS:
CITY: STATE:
PHONE (DAYTIME): 772.785.9888
FAX:
ZIP:
SI,CCC:9/23/09 }
Revised 06130/17 �,�