HomeMy WebLinkAboutREVISION, 2.23.21OFFICE USE ONLY:
DATE FILED:
REVISION FEE:
PERMIT #
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUII.DING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
I I Oq 7 S. In nve..
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CE T. #: qg ST. LUCIE CO CERT. #:
BUSINESS NAME: Ge- 2-000 I;nc.
QUALIFIERS NAME: P N
ADDRESS: 44E3 N i m
CITY: 6I'--t t. STATE: FL- ZIP: - M
PHONE (DAYTIME): ? 7 2.- 340 ` 72-2-3 FAX:
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS -.-
CITY:
PHONE (DAYTIME -
STATE: ZIP:
ARCHITECT/ENGINEER INFORMATION:
NAME: N& C�
ADDRESS: 906 E. Q S.+
CITY: t STATE:
PHONE (DAYTE%AE): -7`7 Z - `j - [ p7
SACCC: 9123109
Revised 06130117
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L ZIP:
FAX: