HomeMy WebLinkAboutApplication For Permit RevisionOFFICE USE ONLY:
DATE FILED: _
REVISION FEE:
PERMIT # 2104-0783
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/S5EGRANDE CAMINO WAY
ADDRESS:
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
ROOFING UNDERLAYMENT
3. CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: ST. LIVCIE COUNTY CERT. #: 8898
BUSINESS NAME: orpora ion
QUALIFIERS N
ADDRESS: b South US Ilwy. 1 Suite
CITY: Fort M. LUC!e STATE: ZIP: '
495
PHONE (DAYTIME):78-5513 FAX: 772) 878-7656
4. OWNER/BUILDER INFORMATION:
NAME: Wynne Building Corporation
ADDRESS: 8000 Soutfi-Hwy. I Suite 402
CITY: rOrt 3L. LUCieSTATE: FL ZIP: 34952
PHONE: (772) 878-5513 FAX: (772) 878-7656
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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