HomeMy WebLinkAboutPermit Revision FormOFFICE USE ONLY:
DATE FILED: `
REVISION FEE:
PERMIT # 2110-0878
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:
109 Riverview Drive Jensen Beach, FL 34957
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
3 openings were left off the original layout. We will install 3 Accordion Shutters to the second floor of this home. The product
approval from the original permit submittal will be used for these shutters as well.
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CRC1331273
BUSINESS NAME: O'Donnell Contracting LLC
QUALIFIERS NAME: Michael O'Donnell
ADDRESS: 1740 NW Federal Hwy
CITY: Stuart STATE: FL
PHONE (DAYTIME): 772-408-0200
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
STATE:
ST. LUCIE CO CERT. #:
FAX:
FAX:
r AA:
ZIP: 34994
ZIP: .
ZIP: