HomeMy WebLinkAboutRevisions; Changing Windows InstallationOFFICE -USE ONLY:
J'DATE FILED:
. REVISION FEE:
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RECEIPT NO.:
ST. LUCIE COUNTY
DEPARTMENT OF COMMUNITY W
AL It
BUILDING & ZOL i
2300 VIRGINIA AVEI
FORT PIERCE, FL 3498 . U15ION
.462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFO R-N IATION
LOCATION!SITE
ADDRESS:
L> kQK:
2. DETAILED DESCRIPTIONS OF PROJECT
'REVISIONS:
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3. CONTRACTOR INFORMATION:
.ST.' OFFLRF-GJCERT9 CRC053121 ST. LUCIE COUNTYCERT.�i 24750
BUSI.NESS.N-k'%IE: MARONDAA-HOMES — -7--l-l", ,
Qualifiers.Nme: JEROME ANUSZEWSKI
ADDRESS: 4610' LIPSCOMBS RD 14E SUITE I
CITI: PALM BAY STATE: FL Zjp:32§b5
PHONE (DAYTIME): 321-725-5645 —FA-X9 321--725-5703
4- ARC.HIT/t-tNGI-NEER:
N.k't I E: TOMAS PONCE
ADDRESS: 4005 MARONDA-WAY
CITY: SANDFORD STATE: FL ZIP: 327J j
PHONE (DAYTIME): 407-321-0064 FAX#
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;� NI,y Building
Code Compliance Division Receipt
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-2522
) A.,/ http://stiucieco.gov/ce
Date: 21 December 2007
Job Address: 5212 MANCIANO ST
Received By: gersteml
Paid With: CK
Paid By: MARONDA INC
Sign:
Receipt #: 0000059685
'ermit Number: SLC- 0709-0074
Amount: $50.00
redit Card Number:
Check Number: 855259