HomeMy WebLinkAboutAPPROVED Permit Revision Form - 4229 Alongo OFFICE USE ONLY:
DATE FILED: PERMIT#
REVISION FEE: 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:
6503 Paso Robles Blvd Fort Pierce, FL 34951
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Due to backlogs at the manufacturer, we need to revise the windows we're using - changing NOA's
only. No change in SOW or valuation
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC-1526178 ST. LUCIE CO CERT. #:
BUSINESS NAME: PATRIOT RESPONSE GROUP
QUALIFIERS NAME: JAMES FOSTER
ADDRESS: 2770 INDIAN RIVER BLVD, SUITE 501
CITY: VERO BEACH STATE: FL ZIP: 32960
PHONE (DAYTIME): 772-559-1119 FAX:
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME: FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): FAX:
SLCCC: 9123109
Revised 06130/17