HomeMy WebLinkAboutAPPROVED REVISION, Form 2017 OFFICE USE ONLY:
DATE FILED: _____________________________ PERMIT # _______________________________
REVISION FEE: ___________________________ RECEIPT # ______________________________
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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:
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DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: ______________________ ST. LUCIE CO CERT. #: ____________
BUSINESS NAME: _________________________________________________________________
QUALIFIERS NAME: ________________________________________________________________
ADDRESS: _______________________________________________________________________
CITY: _______________________ STATE: _______________ ZIP: _______________________
PHONE (DAYTIME): ________________________ FAX: _____________________________
OWNER/BUILDER INFORMATION:
NAME: ____________________________________________________________________________
ADDRESS:__________________________________________________________________________
CITY: _____________________________ STATE: __________ ZIP: __________________
PHONE (DAYTIME: ___________________________ FAX: _____________________________
ARCHITECT/ENGINEER INFORMATION:
NAME: ____________________________________________________________________________
ADDRESS: _________________________________________________________________________
CITY: _____________________________ STATE: ____________ ZIP: ___________________
PHONE (DAYTIME): ___________________________ FAX: ____________________________
SLCCC: 9/23/09
Revised 06/30/17
5612 HICKORY DR, FORT PIERCE, FL 34982
Main Breaker Enclosure upgrade has been replaced with an entire new service upgrade with a 200/200A exterior Main Panel/Utility Meter upgrade with at least 8 available spaces. New exterior MSP to house a New 100A sub panel breaker feeding the existing 100A interior panel.
EC13008056
3590 NW 54 St Ste 3 Ft Lauderdale, FL 33309
Greg Albright
Freedom Forever Florida, LLC
Fort Lauderdale FL 33309
951-404-0837
JOHN TRUETT
FORT PIERCE FL 34982
5612 HICKORY DR
(352) 281-5782