HomeMy WebLinkAboutRevision (2)OFFICE USE ONLY:
DATE FILED:
REVISION FEE:
PERMIT #
RECEIPT 0
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
LOCATIONISITE
ADDRESS:
5110 PALMETTO DRIVE, FORT PIERCE, FL34982
DETAILED DESCRIPTION OF PROJECT
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Revised site plan - added concrete drive and concrete to the area behind the
garage,
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CBC1254289
BUSINESS NAME: SYNERGY HOMES LLC
QUALIFIERS NAME: RYAN DAVIS
ADDRESS: 3970 RCA BLVD., SUITE 7006
CITY: PALM BEACH GARDENS STATE: FL
PHONE (DAYTIME): 561-623-0476
OWNERBUILDER INFORMATION:
NAME: PETER AND BRIDGET JACOBSON
ADDRESS: 140 SW EULER AVENUE
CITY: PORT ST. LUCIE
PHONE (DAYTIME: 772-924-6977
STATE: FL
ARCHITECT/ENGINEER INFORMATION:
NAME: LILLIAN GONZALEZ
ADDRESS: 1824 RICHARD LANE
CITY: PALM SPRINGS
PHONE (DAYTIME): 561-294-6929
SLCC,C: 9123109
Revised 06130117
ST. L,UCIE CO CERT. #:
FAX:
r AA:
STATE: FL
FAX:
ZIP: 33410
ZIP: 34953
ZIP: 33406