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DATE FILED: 01/10/22 PERMIT# 2111-0104
REVISION FEE: 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:
5940 SPANISH RIVER DR
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CHANGE NUBER OF CIRCUITS BEING ADDED FROM(2)TO(1)
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CFC057323 ST. LUCIE CO CERT. #:
BUSINESS NAME: NORTH END PLUMBING AND DRAINS
QUALIFIERS NAME: RALPH TRANIELLO
ADDRESS: 1000 STINSON WAY UNIT 100
CITY: WEST PALM BEACH STATE: FL ZIP: 33411
PHONE (DAYTIME): 561-469-2225 FAX:
OWNEWBUILDER INFORMATION:
NAME: DIMITRI FIELDS
ADDRESS:5940 SPANISH RIVER RD
CITY: FORT PIERCE STATE: FL ZIP: 34951
PHONE (DAYTIME: FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): FAX:
SLCCC: 9123109
Revised 06130/17