HomeMy WebLinkAboutREVISION 5.12.21OFFICE 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:
7827 Sabal Lake Drive Port Saint Lucie Florida
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Revised Ip tank size from 500 gallon to 1000 gallon. Revised
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: LQ31756
BUSINESS NAME: Energized Electric
QUALIFIERS NAME: Michael Flaxman
ADDRESS: 4252 Bandy Blvd
CITY: For Pierce STATE: FI
PHONE (DAYTIME): 772-488-1095
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
STATE:
to gas appliances
ST. LUCIE CO CERT. #:
FAX:
FAX:
FAX:
ZIP:34981
ZIP:
ZIP:
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