HomeMy WebLinkAboutAPPLICATION FOR PERMIT REVISIONOFFICE USE ONLY:
DATE FILED:
REVISION FEE:
PERMIT #
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:
5004 Matanzas Ave
Ft Pierce, FL 34946
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Unit will have a 10KW not 5KW
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CAC039664
BUSINESS NAME: Advantage AC
QUALIFIERS NAME: Samuel T Durham
ADDRESS: 601 S Market Ave
CITY: Ft Pierce STATE
PHONE (DAYTIME): 772-465-1606
OWNER/BUILDER INFORMATION:
NAME: Christine Mayer
ADDRESS:5004 Matanzas Ave
CITY: Ft Pierce
PHONE (DAYTIME: 772-461-3483
FL
ST. LUCIE CO CERT. #: 8887
ZIP: 34982
FAX. 772-465-4945
STATE: FL ZIP: 34946
FAX: NIA
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
FAX:
ZIP: