HomeMy WebLinkAboutApplication For Building Permit 12-14-2021OFFICE USE ONLY:
Y_ S V v
DATE FILED:
REVISION FEE:
PERMIT #
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION RECEIVED'
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 DEC 14 2021
(772) 462.1553
S T, Lucie County, Pennitting
APPLICATION FOR BUILDING PERMIT
PROJECT INFORMATION -
LOCATION/SITE FILE COPY
ADDRESS:
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: j�,. O��{ �� ST. LUCIE CO CERT. #:
BUSINESS NAME: S4 L�, - e 1� C
QUALIFIERS NAME.
ADDRESS: -71) 0 c p +. cl_i
CITY: r``�A Tierce- STATE: r L ZIP: V S`®
PHONE (DAYTIME): -77-2_ y y-111 7 FAX:
OWNER/BUII,DER INFORMATION:
NAME: SA L l tG C�
ADDRESS: -76a S f1, S
CITY: ro r+- ►P e r c e STATE: (=L
PHONE (DAYTIME: 2- 41 y/ j l 7 FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: [o4 0r e
PHONE (DAYTIME):
SLCCC: 9123109
Revised 07117118
se- STATE: P i
--7�- a 6 JL ! 6 0 3 FAX:
ZIP: 341qs '
ZIP: '� y q q c