HomeMy WebLinkAboutapproved Revision Form_Site Plan (FFE)OFFICE 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:
8401 S. INDIAN RIVER DR., FORT PIERCE, FL 34982
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
NEW FINISHED FLOOR ELEVATION
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CBC1254289
BUSINESS NAME: SYNERGY HOMES LLC
QUALIFIERS NAME: RYAN DAVIS
ADDRESS: 3970 RCA BLVD., SUITE 7006
CITY: PALM BEACH GARDENS STATE: FL
PHONE (DAYTIME): 561-623-0476
OWNER/BUILDER INFORMATION:
NAME: STEVE BUDNIK
ADDRESS:1600 SE EMPORIA CT.
CITY: PORT ST. LUCIE
PHONE (DAYTIME: 954-471-0325
STATE: FL
ARCHITECT/ENGINEER INFORMATION:
NAME: LILLIAN GONZALEZ
ST. LUCIE CO CERT. #:
FAX:
FAX:
ZIP: 33410
ZIP: 34952
ADDRESS: 1824 RICHARD LANE
CITY: PALM SPRINGS STATE: FL ZIP: 33406
PHONE (DAYTIME): 561-294-6929
SLCCC: 9123109
Revised 06130117