HomeMy WebLinkAboutREVISION FORM ,ADD MINISPLIT, 1.14.21OFFICE USE ONLY:
DATE FILED:
REVISION FEE:
LOCATION/SITE
ADDRESS:
5350 Slash Pine Trail
PERMIT # 2001-0038
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUIL,DIN(: & CODE RFGtILATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772) 462.1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
REVISION�Sr:
PER COMMENTS FROM INSPECTOR
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC1524734
BUSINESS NAME: Groza Builders
QUALIFIERS NAME: John A. Groza
ADDRESS. 511 SW PSL Blvd.
CITY: Port Saint Lucie STATE: FL
PHONE (DAYTIME): 772-336-7653 —
OWNER/BUILDER INFORMATION:
NAME: Steven Dunn
ADDRESS:306 Lakeside Lane
CITY: Addison
PI IONS (DAYTIME: 802-989-0888
ST. LUCIE CO CERT. #: 16814
FAX:
STATE: VT
FAX:
ARCHITECT/ENGINEER INFORMATION:
X1 A T%A W • Chris Beers
AI.)DRESS: 5109 Grand Palmetto Way
CITY: North Port
PHONE (DAYTIME): 941-627-0635
.SLCCC: W23i09
Revised 06,30117
STATE: FL
FAX:
ZIP: 34953
ZIP: 05491
ZIP: 34291
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