HomeMy WebLinkAboutAPPLICATION FOR BUILDING PERMITOFFICE USE ONLY:
DATE FILED: _
REVISION FEE:
PERMIT #
RECEIPT #
PLANNING & DE
LOPMENT SERVICES
BUILDING & CODE
REGULATION DIVISION
230
RECEIVED FORT
VIRGINIA AVENUE
IERCE, FL 34982-5652
(772) 462-1553
APR 10 2018
APPLICATION FOR
BUILDING PERMIT REVISIONS
ST. Lucie County, Permitting PROJECT
INFORMATION
LOCATION/SITE
ADDRESS:
Al. do-tG-n 1 C�
C' s
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
i
S
CONTRACTOR INFORMATION:
STATE of FL REG./CERT.
BUSINESS NAME: %Y4
QUALIFIERS NAME:
ADDRESS: LRI,1'„u .0
STATE:
PHONE(DA
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC. 9123109
Revised 06130117
ST. LUCIE CO CERT. #: o?(o osv
' ZIP: kZ4 �-tly --7c
FAX:,\348 • W //
ZIP:
"10
ZIP:
FAX: