HomeMy WebLinkAboutRevisions OFFICE USE ONLY: YY��
DATE FILED: PERMIT# • a-
REVISION FEE: .OD 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 l
LOCATION/SITE
ADDRESS:
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DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CBC051145 ST. LUCIE CO CERT. #:
BUSINESS NAME: GRBK GHO Homes LLC
QUALIFIERS NAME: William Handler
ADDRESS: 590 NW Mercantile Place
CITY: Pt St Lucie STATE: FL ZIP: 34986
PHONE(DAYTIME): 772-773-0075 FAX: 561-688-0909
OWNER/BUILDER INFORMATION:
NAME: GRBK GHO St Lucie LLC
ADDRESS:590 NW Mercantile Place
CITY: Port St Lucie STATE: FL ZIP: 34986
PHONE(DAYTIME: 772-773-0075 FAX: 561-688-0909
ARCHITECT/ENGINEER INFORMATION:
I,
NAME: Donald J Nuelle
ADDRESS: 11634 SW Rowena St
CITY: Port St Lucie STATE: FL ZIP: 34987
PHONE (DAYTIME): 561-629-6975
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SLCCC: 9123109 '
Revised 06130/17