HomeMy WebLinkAboutREVISION 8-19-09I
OFFICE USE ONLY:
qMCANNED
�vq
DATE FILED: -- — Bj"f PERMIT # 0�Dz
i i)l l0
REVISION FEE: •''' a �� ��P9� �;�I�� RECEIPT # II I O Z
ST. LUCIE COUNTY
ST. LUCIE COUNTY PUBLIC WOR KS DEPARTMENT
BUILDING DIVISION CODE COMPLIANCE DIVISION
RIrV1EF® 2300 VIRGINIA AVENUE
�F:OR CO �
REIAEWED By 6- FORT PIERCE, FL 34982-5652 s.
RATE I M2) 462-1553
P SA � I
MUST BE KEPT ON B.OR
NO INSPE(JTION WILL BE MADEAF PLICATIONFoR BUILDING PERMIT REVISIONS i
1
PROJECT INFORMATION
1. LOCATION/SITE
ADDRESS: / ,
2. DETAILED DESCRIPTION OF PROJECT I
�i
REVISIONS:
II
• � II I
i
3. CO RIVIATI1Vi
ST. of FL REGJCERT. # ST. LUCIE CERT.
BUSINESS NAME:.
QUALIFIERS NAME: '
ADDRESS: 76 f{ Ii
CTTYo i�/g�i STATE: II ZIP:
PHONE (DAYTIl1iE): 1 f Z�r"7 FA%: �`j
4. ON:
NAME: �z,
ADDRESS: 62
CITY; l / STATE: II': ZIP:
PHONE /CELL d� FAR: ) A<7, 9 3 r"
J {
5. ARCHITECT L%CMffW.R INFORMATION:
NAME:
ADDRESS: L U= b L= 7sx� i I
CITY: i STATE: H {I I! ZIP: 2
PHONE (DAYTRMIE): /� > �2 � FAX: 760)
� l �i
Building
Code Compliance Division
2300 Virginia Avenue Receipt
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
http:/Iwww.stlucieco.org/public—works/permiffing.htm
I
Date: 19 August 2009
Job Address: 9549 RANGELINE RD
Received By: dimonb
Paid With: CA
Paid By: VM CONSTRUCTION INC
Receipt #:, 0000070542
'ermit Number: SLC- 0802-0116
Amount: ' $50.00
�redit Card Number:
Check Number..
Sign: