HomeMy WebLinkAboutAPPLICATION FOR BUILDING REVISIONS i
2107-0079
11/09?2021
OFFICE USE ONLY:
DATE FILED: 10/28/2021 PERNUT# 2107-0079
REVISION FEE: RECEIPT#
i
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: i
7907 S INDIAN RIVER DRIVE
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
SIZE OF POOL CHANGED 2'LONGER•
l CONTRACTOR INFORMATION:
- i
STATE of FL REG./CERT. #: CPC1457647 ST.LUCIE CO CERT. #: 32277
BUSINESS NAME: FLORIDA LIFESTYLE POOLS
QUALIFIERS NAME: WARREN SIGMAN
ADDRESS: 1469 SW BALMORAL TRACE CT
CITY: STUART STATE: FL ZIP: 34997
PHONE(DAYTIME): 7722377665 FAX:
OWNERBUILDER INFORMATION:
NAME: DAN THOMPSON
ADDRESS:7907 S INDIAN RIVER DR
CITY: FT PIERCE STATE: FL ZIP: 34982
PHONE(DAYTIME': 2183481782 FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME: WAYNE MARKHAM"
ADDRESS: 1820 NE JENSEN BCH BLVD
CITY: JENSEN BEACH ST-ATE: FL ZIP: 34957
PHONE(DAYTIME): 9548183825 FAX:
SLCCC: 9123109
Revised 06130/17
i