HomeMy WebLinkAboutPursuit Boats Revision Foundation Permit #2111-0426 OFFICE USE ONLY :
DATE FILED : PERMIT # Z < ( � " Oy Z !
REVISION FEE : RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE , FL 34982 - 5652
( 772) 462 - 1 553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS :
Sabi St , LuG14 . Blvd , fort ricrvz F ( 3L Ll4
DETAILED DESCRIPTION OF PROJECT
REVISIONS .
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CONTRACTOR INFORMATION :
STATE of FL REG . /CERT . # : C4C. y 13 QSs 4 ST . LUCIE CO CERT .
BUSINESS NAME : lziL% u. rcl y 1) ayi5
QUALIFIERS NAME : 'D ,, ,, �, � wS � � �; �
ADDRESS : W�o5 Mek7 . r, er
CITY : F } . Q � Qr STATE : ZIP : 34 15 4
PHONE (DAYTIME) : 4 2 46k '933 S FAX :
OWNER/BUILDER INFORMATION :
NAME : P fb JA 6 t d C. d LX (C A tkv, , i3 rV � ll.A& M fS�0n
ADDRESS :
CITY : STATE : ZIP :
PHONE (DAYTIME : FAX :
ARCHITECT/ENGINEER INFORMATION .
NAME :
ADDRESS :
CITY : Vero � e � c� STATE : FL ZIP : 3 -L9 & o
PHONE (DAYTIME) : �. — S `1 - ( �- 5 I FAX :
SLCCC. 9123109
Revised 06130/17