HomeMy WebLinkAbout202012221628 Revision Form OFFICE USE ONLY :
DATE FILED : PERMIT # 2011 -0059
REVISION FEE : 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 :
15 CROWN COURT, FORT PIERCE , FL 34949
DETAILED DESCRIPTION OF PROJECT
REVISIONS .
FURNISH & INSTALL UP TO 170 L . FT. OF VINYL SEAWALL WITH A CONCRETE CAP .
CONTRACTOR INFORMATION .
STATE of FL REG ./CERT . # : SCC 131151026 ST . LUCIE CO CERT . # : 29115
BUSINESS NAME : WILCO CONSTRUCTION INC .
QUALIFIERS NAME : ROBERT WILLIAMS
ADDRESS : 10751 ORANGE AVE
CITY : FORT PIERCE STATE : FL ZIP ; 34945
PHONE (DAYTIME) : 772-460-6928 FAX : 772-460-6929
OWNERMUILDER INFORMATION .
NAME ; PATTERSON , DOUGLAS & TERESA - OWNERS
ADDRESS : 523 CHARLES HILL RD
CITY : SANTA CRUZ STATE : CA ZIP : 95065
PHONE (DAYTIME ; 831 -345-9886 FAX ; N/A
ARCHITECT/ENGINEER INFORMATION .
NAME : DANIEL PAUL RETHORDFORD
ADDRESS : 1402 HARTMAN RD
CITY ; FORT PIERCE STATE : FL ZIP : 34947
PHONE (DAYTIME) : 772-224-9826 FAX : N/A
SLCCC: 9123109
Revised 06130/17