HomeMy WebLinkAboutREVISION FORM 2 (truss)OFFICE USE ONLY:
DATE FILED:
REVISION FEE:
PERMIT # 2011-0229
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:
10210 Carlton Road, Fort Pierce, FL 34987
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC1524734 ST. LUCIE CO CERT. #:
BUSINESS NAME: Groza Builders,lnc.
OtJALIFIERS NAME: John A. Groza
ADDRESS: 511 SW PSL Blvd.
CITY: PSL STATE: FL ZIP: 34953
PHONE (DAYTIME): 772-336-7653 FAX:
OWNER/BUILDER INFORMATION:
NAME: George & Angela Martire
ADDRESS:1711 SE Carvahlo Street
CITY: PSL
PHONE (DAYTIME: 772-643-3699
STATE: FL
ARCHITECT/ENGINEER INFORMATION:
NAME: Christopher D. Beers
ADDRESS: 5109 Grand Palmetto Way
CITY: North Port
PHONE (DAYTIME): 941-628-0635
SLCCC: 9123109
Revised 06130117
STATE: Fl
FAX:
FAX:
ZIP: 34983
ZIP: 34291