HomeMy WebLinkAboutAPPROVED RevisionOFFICE USE ONLY:
DATE FILED:
REVISION FEE:
PERMIT # 2104-0684
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 FAX (772) 462-1578
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
1. LOCATION/SUFMEDITERRANEAN NORTH
ADDRESS:
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
ROOFING UNDERLAYMENT
3. CONTRACTOR INFORMATION:
STATE of FL PEG./CERT. #: ST. L.ECIE COUNTY CERT. #: 8898
BUSINESS NAME: orpora on
ADDRESS RS NAM�b South U wy. ui e
CITY: F0OLucie STATE: ZIP: 3495
PHONE (DAYTIME): FAX: 772 878- 6656
4. OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE:
Wynne Building Corporation
STATE:
ZIP:
5. ARCHITECT/ENGINEER INFORMATION:
NAME: BRADEN & BRADEN
ADDRESS:
CITY: STUART STATE: FL ZIP: 34996
PHONE (DAYTIME): (772)287-8258 FAX:
Revised 07/22/2014
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