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DATE FILED:
REVISION FEE:
PERMIT # _
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:
12417 s Indian river Drive Jensen beach fl 34952
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Apply Stucco to Ist floor CBS & 2nd floor wood frame. And wire existing i
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC1513256 ST. LUCIE CO CERT. #:
BUSINESS NAME: HIGH TOWER CONS I RUCTION INC
QUALIFIERS 1
ADDRESS: 57 0 SE N BUTTONWOOD DR
CITY: PSL STATE: FLZIP: 34952
PHONE (DAYTIME): 22 FAX:
OWNER/BUILDER INFORMATION:
NAME: Treasure Coast Overlook Inc
ADDRESS: Lucie
CITY: P STATE: FILZIP: 34952
PHONE (DAYTIME: FAX
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130/17
STATE: ZIP:
VAY: