HomeMy WebLinkAboutRevisions; For Recreation Pada
OFFICE USE ONLY:
DATE FILED; �"oZS^ 9-1
REVISION FEE:
PERMIT # a` C% SCug
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772) 462-1553
JAN 2 5 2021
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION Permitting Department
St. Lucie County
LOCATION/SITE ZONING d �2—1 21
ADDRESS:
og s.LSEiJ oz� Fr itwce-F' f
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: STATE: _
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
NAME: /�w v )(� .
ADDRESS: ,,j7$ Sivaell;
CITY: Fwa- 'oil C
PHONE (DAYTIME: 0!?�) j1 `f -a 16'
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130/17
STATE:
sr
ST. LUCIE CO CERT. #:
FAX:
1'AA.
107:rii
ZIP:
ZIP:
ZIP:
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BAN 5 2021
J,
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ucle County
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