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HomeMy WebLinkAboutREVISION FORMOFFICE USE ONLY: DATE FILED: REVISION FEE: LOCATION/SITE ADDRESS: 2825 S. Brocksmith Rd PERMIT # 2101-0179 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: Changed truss company CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CGC1524734 BUSINESS NAME: Groza Builders QUALIFIERS NAME: Tony Groza ADDRESS: 511 SW PSDL Blvd. CITY: PSL STATE: FL PHONE (DAYTIME): 772-339-7653 OWNER/BUILDER INFORMATION: NAME: Carlos & Jennifer Wells ADDRESS:3821 SW Coquina Cove CITY: Palm City PHONE (DAYTIME: 772-418-6186 STATE: FL ARCHITECT/ENGINEER INFORMATION: NAME: Christopher D. Beers ST. LUCIE CO CERT. #: 16814 FAX: irAViM ZIP: 34953 ZIP: 34990 ADDRESS: 5109 Grand Palmetto way CITY: Northport STATE: FL ZIP: 34291 PHONE (DAYTIME): 941-628-0635 FAX: SLCCC: 9123109 Revised 06130117