HomeMy WebLinkAboutRevisionC"-�Q-5
OFFICE USE ONLY:
DATE FILED: " 1 a0 I l
REVISION FEE: 1 + d d
PERMIT #
RECEIPT # l q 1 d
PLANNING & DEVELOPMENT
BUILDING & CODE REGULATION
2300 VIRGINIA AVEI
FORT PIERCE, FL 3498
(772) 462.1553
APPLICATION FOR BUILDING PE
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
8330 Hidden Pines Road Fort Pierce FL 34981
Vlk-hb ST. LUCIE COUNTY
SION BUILDING DIVISION
REVIElN
FOR COMP CE
SREVIEWED BY
DATE
PLANS AND PERMIT
T REV($IWl3E KEPT ON JOB OR
NO INSPECTION WILL BE MADE
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Remove 3/4" Trac Pipe feed from inside house. Install 3/4' polly around outside of house
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: 34747
BUSINESS NAME: Energized Gas INC
QUALIFIERS NAME: Robert Binkowski
ADDRESS: 4252 Bandy Blvd
CITY: Fort Pierce STATE: FL
PHONE (DAYTIME): 772-777-8133
OWNER/BUILDER INFORMATION:
NAME: Mary Hempstead
ADDRESS:921 Plover Ave
CITY: Miami Springs
PHONE (DAYTIME:
STATE: FL
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
ST. LUCIE CO CERT. #: 29109
ZIP: 34981
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FAX:
FAX:
SLCCC:9/23/09
Revised 06/30/17
REVISION
ZIP: 331664346
ZIP:
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