HomeMy WebLinkAboutMaverick Baots Revision for Enlarged Safety Plan Floor Plan showing security fence OFFICE USE ONLY:
DATE FILED: PERMIT# I b 5 OZ 4 1
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:
4SS1 54, 13Iv� For+�, roe , rL 349`-14
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
- olkar-d c IAF�� Fch�c
Gv.l�A floor sk*' cC4
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: (-Gl�C o %3 o y ST. LUCIE CO CERT. #:
BUSINESS NAME: (Z„o�urd K. `3av�5 Cb-,a l�oc4.'�ti
QUALIFIERS NAME:
ADDRESS: 1+-L-0 S
CITY: V-4 . Ptc� STATE: 'P L ZIP: -3 N q q-4
PHONE(DAYTIME): ll Z- y 6 r -83 FAX:
OWNER/BUILDER INFORMATION:
NAME: Ciro un r ►��.
ADDRESS: S
CITY: P;cr-ce STATE: 17L ZIP: 349y(.
PHONE(DAYTIME: FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME: fsrc"ti A. W Oo j A rc.k : +e olur'= LL L
ADDRESS: X0 S. E. Occu,, 'fS lv oA-
CITY: STATE: IFL ZIP: 3 4 Ck R 4
PHONE(DAYTIME): FAX:
SLCCC. 9123109
Revised 06130/17