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HomeMy WebLinkAboutAPPROVED REVISION FORM 3OFFICE USE ONLY: DATE FILED: REVISION FEE: LOCATION/SITE ADDRESS: 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 5d0c, mane-ka-00 P-i6 alb(I-409oa. DETAILED DESCRIPTION OF PROJECT REVISIONS: 4hr -Q\LcX- 0-elvA S-ouj--�a,,,lion ►tkCn l,' U bu CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CRC13301466 BUSINESS NAME: Adams Homes of Northwest Florida, Inc. QUALIFIERS NAME: William Bryan Adams ADDRESS: 3000 Gulf Breeze Parkway CITY: Gulf Breeze STATE: FL PHONE (DAYTIME): 772-905-8394 OWNER/BUILDER INFORMATION: NAME: Adams Homes of Northwest Florida, Inc. ADDRESS:3000 Gulf Breeze Parkway CITY: Gulf Breeze PHONE (DAYTIME: 772-905-8394 STATE: FL ARCHITECT/ENGINEER INFORMATION: NAME: Keesee Associates ADDRESS: 945 South Orange Blossom Trail CITY: Apopka PHONE (DAYTIME): 407-880-2333 SLCCC. 9123109 Revised 06130117 STATE: Fl- ST. LUCIE CO CERT. #: IM". I W.M14i FAX: ZIP: 32563 ZIP: 32563 ZIP: 32703