HomeMy WebLinkAboutRevisions , Change PGT WINDOWS to VININCO, New Calcs, FL approaval- OFFICE USE ONLY:
DATE FILED: PERMIT# J
REVISION FEE: RECEIPT# a
PLANNING & DEVELOPMENT 'S
BUILDING&CODE REGULATIO ON
Contractor 2300VIRGINIAAV
FORT PIERCE, FL 3 8
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APPLICATION FOR BUILDING PER R IS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
DETAILED DESCRIPTION OF PROJECT
VISIONS:
,nor 44- 11
CONTRACTOR INFORMATION: Y-)
STATE of FL REG./CERT. #: I ST. LUCIE CO CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): FAX:
OWNER/BUILDER INFORMATION:
NAME: -N a 7
ADDRESS: 5S -tt�►-� S
CITY: 1�-5 Ir 4 STATE: ZIP: 7`-
PHONE(DAYTIME��'� 3� ) FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME: L I��
ADDRESS: 22Z
CITY: \f P-e-b M STATE: (, ZIP:
PHONE (DAYTIME):-I`)2A as ^LA 52-2 FAX:
SLCCC: 9123109
Revised 06130117
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