HomeMy WebLinkAboutAPPLICATION FOR BUILDING PERMITOFFICE USE ONLY:
DATE FILED:
REVISION FEE:
PERMIT # ' d I �3
' s
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE HFOEIVED
FORT PIERCE, FL 34982-5652
(772) 462-1553 FEB 2 2 2021
APPLICATION FOR BUILDING PERMITS St Lucie
etCounty
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
33 A V4e s
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. 9: l'.{Jl 1
BUSINESS NAME: Sheol
QUALIFIERS NAME: A A j let,
ADDRESS:
CITY: STATE:
PHONE (DAYTIME): a - a�)
OWNER/BUELDER INFORMATION:
NAME: 1`.w \
ADDRESS: eZC101
CITY: c �d
PHONE (DAYTIME:
ST. LUCIE CO CERT. 9:
,, .
ZIP:
FAX:
STATE:
FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME: (ii l Q1�1X S
ADDRESS: I�
CITY: STAT:
PHONE (DAYTIME): �-7 r 3 3 FAX:
b0 tc
SLCCC: 9123109
Revised 06130117
ZIP:
ZIP: