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# 2101-0158
PLANNING & DEVELOPMEN SERVICES
BUILDING & CODE REGULATIO 14 DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34 82-5652
(772) 462-155
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
6627 GAVIOTA
FORT PIERCE FL
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CHANGE OF PRODUCT APPROVAL FROM SHINGLE TO 5V METAL AND
UNDERLAYMENT TO TU PLUS
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CCC1331308 S
. LUCIE CO CERT. #:
BUSINESS NAME: EDIFICIUM CONST
QUALIFIERS NAME: EDWARD LECHNER
ADDRESS- 1215 CASTAWAY BLVD
CITY: VERO BEACH STATE: FL
ZIP: 32963
PHONE (DAYTIME): 772-643-4513 FAX:
OWNERIBUILDER INFORMATION:
NAME: JOHN RUZICKA
ADDRESS: 6627 GAVIOTA
CITY: FORT PIERCE STATE: FL
ZIP: 34951
PHONE (DAYTIME: FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE:
ZIP:
PHONE (DAYTIME):FAX:
SLCCC; 9123109
Revised 06130117