HomeMy WebLinkAboutREVISION FORM (2) 12/11/20OFFICE USE ONLY:
DATE FILED: 12/11/2020
REVISION FEE:
PERMIT # 2007-0716
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:
2951 S.Brocksmith Rd Fort Pierce 34952
changed to a 36" cooktop in lieu of 30" and double walloven
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Flipped the vanity and toilet locations in the master bath
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC1524734
BUSINESS NAME: Groza Builders,lnc.
QUALIFIERS NAME: John A. Groza
ADDRESS: 511 SW PSL Blvd.
CITY: Port St.Lucie STATE: FL
PHONE (DAYTIME): 772-336-7653
OWNER/BUILDER INFORMATION:
NAME: Jonathan Santana and Brittany Autry
ADDRESS:1626 Hawthorne Place
CITY: Wellington
PHONE (DAYTIME: 561-351-1465
ST. LUCIE CO CERT. #: 16814
FAX:
STATE: FL
FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME: Chris Beers
ADDRESS: 5109 Grand Palmetto Way
CITY: North Point
PHONE (DAYTIME): 941-628-0635
SLCCC: 9123109
Revised 06130117
STATE: FL
FAX:
ZIP: 34953
ZIP: 33414
ZIP: 34291