HomeMy WebLinkAboutAPPROVED REVISION 6.22.21 _4544 Davidson Permit revision form State of Florida Department of Economic Opportunity
Rebuild Florida Program Permit/HR 1463
OFFICE USE ONLY:
DATE FILED: PERMIT# SLC 2105-0520
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:
7302 Pacific Ave Ft Pierce,FL 34951
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Changing windows being used on opening#2,#3,#17 and#22-changing NOA's only,no change in SOW or job valuation
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC-1526178 ST. LUCIE CO CERT. #: 32017
BUSINESS NAME: Patriot Response Group
QUALIFIERS NAME: James Foster
ADDRESS: 607 Brack Road
CITY: Fort Pierce STATE: FL ZIP: 34982
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