HomeMy WebLinkAboutHVAC PLAN REVISION FORMOFFICE USE ONLY:
DATE FILED: _
REVISION FEE:
PERMIT # _
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
LOCATION/SITE
ADDRESS:
5110 PALMETTO DRIVE, FORT PIERCE, FL 34982
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
NEW HVAC PLAN
CONTRACTOR INFORMATION: C OVA-6
STATE of FL REG./CERT. #: CMC1250816
BUSINESS NAME: RANGER AIR CONDITIONING
QUALIFIERS NAME: RONALD M. BENNETT
ADDRESS: 9845 SE FEDERAL HWY
CITY: HOBE SOUND STATE: FL
sUA)
ST. LUCIE CO CERT. #: 16282
PHONE (DAYTIME): 772-260-4719 FAX:
OWNER/BUILDER INFORMATION: L '—�
NAME: SYNERGY HOMES LLC
ADDRESS:3950 RCA BLVD., SUITE 5000
CITY: PALM BEACH GARDENS
PHONE (DAYTIME: 561-623-0476
STATE: FL
ARCHITECT/ENGINEER INFORMATION:
NAME: LILLIAN GONZALEZ
ADDRESS: 1824 RICHARD LANE
CITY: PALM SPRINGS
PHONE (DAYTIME): 561-294-6929
SLCCC: 9123109
Revised 06130117
STATE: FL
r ti.A:
i v49V.M
ZIP: 33455
ZIP: 33410
ZIP: 33406