HomeMy WebLinkAboutREVISION FORM APP - 3-29-21OFFICE USE ONLY:
DATE FILED:
REVISION FEE:
LOCATION/SITE
ADDRESS:
1409 NW LANCEWOOD TER
PERMIT # 2102-0129
RECEIPT #
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
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
TANK AND LINE LOCATION MOVED
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: 18361
BUSINESS NAME: ELITE GAS CONTRACTORS
QUALIFIERS NAME: Cheyenne Ellison
ADDRESS: 2130 POMA DR
CITY: Palm City STATE: FL
PHONE (DAYTIME): (772)220-9678
OWNER/BUILDER INFORMATION:
NAME: Ronald A Ruotolo
ADDRESS:1409 Lancewood TER
CITY: Palm City
PHONE (DAYTIME: (772)220-9678
ST. LUCIE CO CERT. #:
ZIP: 34990
FAX: (772)220-1829
STATE: FL ZIP: 34990
FAX: (772)220-1829
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
STATE:
I -AA:
ZIP: