HomeMy WebLinkAboutRevisions Form OFFICE USE ONLY:
DATE FILED: _____________________________ PERMIT # _______________________________
REVISION FEE: ___________________________ RECEIPT # ______________________________
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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:
___________________________________________________________________________________
___________________________________________________________________________________
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
___________________________________________________________________________________
___________________________________________________________________________________
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: ______________________ ST. LUCIE CO CERT. #: ____________
BUSINESS NAME: _________________________________________________________________
QUALIFIERS NAME: ________________________________________________________________
ADDRESS: _______________________________________________________________________
CITY: _______________________ STATE: _______________ ZIP: _______________________
PHONE (DAYTIME): ________________________ FAX: _____________________________
OWNER/BUILDER INFORMATION:
NAME: ____________________________________________________________________________
ADDRESS:__________________________________________________________________________
CITY: _____________________________ STATE: __________ ZIP: __________________
PHONE (DAYTIME: ___________________________ FAX: _____________________________
ARCHITECT/ENGINEER INFORMATION:
NAME: ____________________________________________________________________________
ADDRESS: _________________________________________________________________________
CITY: _____________________________ STATE: ____________ ZIP: ___________________
PHONE (DAYTIME): ___________________________ FAX: ____________________________
SLCCC: 9/23/09
Revised 06/30/17
9940 S OCEAN DR 101, JENSEN BEACH FL 34957
When we did the final inspection, the inspector said the NOA on site did not match the NOA that was submitted...
The correct NOA should be for a SGD670 NOA# 20-0429.07 (I am attaching it with this form)
19363
The Glass Professionals
David LaPrade
3570 SE Dixie Hwy
Stuart FL 34997
772-286-0459
Robert White
9940 S. Ocean Dr #101
Jensen Beach FL 34957