HomeMy WebLinkAboutRevisionsOFFICE-j.JSE ONLY:
DATE FILED: I a a l f
APE=RIIIT�NUMBER•.:5. rG. ZO�i =,
REVISION FEE: RECEIPT NO.:
ST. LUCIE COUNTY
DEPARTMENT OF COMiMUNITY DEVELOPMENT
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
-462- I553
APPLICATION FOR BUILDING PERTMIT RENTISIONS
PROJECT INFOR:tiIATION
I• LOCATIONrSITE
ADDRESS: 'z'
2. 'DETAILED DESCRIPTIONS OF PROJECT
REVISIONS: crc..tio u>,er„
3. CONTRACTOR INFORMATION:
ST. OF FL REGJCERTAI CRC0531 21 ST. LUCIE COUNTY CERT.!! 24750
BCSI-NESS NkNIE: MARONDA 'HOMES
Qualifiers -Name: JEROME ANUSZEWSKI —"
.ADDRESS: 4610 LIPSCOMBS RD NE SUITE 1 -
CITY: PALM BAY STATE: FL
PHO-NE (DAYTIME): 321-725-5645 FAX g 321-725-5703 "
4. ARC.HIVENGINEER:
NAME: TOMAS PONCE
ADDRESS: 4005 MARONDA WAY ---
CITY: SANDFORD STATE: FL ZIP; 3277?
PHONE(DAYT01E): 407-.321-0064 FAX-4
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-2522
hftp://stiucieco.gov/ce
Date: 21 December 2007
Job Address: 5214 MANCIANO ST
Received By: gersteml
Paid With: CK
Building
Receipt
Paid By: MARONDA INC Sign:
Receipt M
'ermit Number:
Amount:
redit Card Number:
Check Number:
0000059684
SLC- 0709-0073
$50.00
855258