HomeMy WebLinkAboutREVISION FORM, ELECTRICAL i
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OFFICE USE ONLY: G
DATE FILED: .i PERMIT# V
REVISION FEE: i RECEIPT#
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! PLANNING&DEVELOPMENT SERVICES.
BUILDING&CODE REGULATION DIVISION
.j 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
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APPLICATION FOR BUILDING PERMIT REVISIONS
I'.I PROJECT INFORMATION
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LOCA1I(1T �TE
ADDRESS:
3403-502-0166-000-8 �I .I
3055 W Midway Rd, Fortl;Fierce, FI 34981
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DETAILED DESCRIPTION OF PROJECT
REVISIONS:
MASTER PERMIT#2110-0356 Ravinia 4 Left-Electrical plan revised,move dining light to 5'6'off the wall,no lift station
needed for project,disc removed, underground service for all jobs,kitchen laundry, bath fixtures
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CONTRACTOR INFORMATION:
STATE of FL REGYCERT. #: CBC1254289 ST. LUCIE CO CERT.
BUSINESS NAM ' Synergy Homes,LLC
QUALIFIERS NAME:
ADDRESS: 581 NIN MERCANTILE PL SUITE 106
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CITY: PORT ST LUCIE STATE: FL ZIP: 34986
PHONE (DAYTIME - 954 557 9735 FAX:
v �R OWNER/BUILDE INFORMATION:
NAME: Synergy Homes,LLC
ADDRESS:581 NW MERCANTILE PL SUITE 106
CITY: PORT ST LUCIE STATE: FL ZIP: 34986
PHONE(DAYTIME: 954 557 9735 FAX:
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ARCHITECT/ENGINEER INFORMATION:,
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NAME: LILLIAN GONZALES
ADDRESS: 1824 RICHARD LANE
CITY: PALM SPRINGS STATE: FL ZIP: 33406 j
PHONE(DAYTIME): 561-294-6929 FAX:
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SLCCC: 9123109 1 .1
Revised 06/30/17
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