HomeMy WebLinkAboutREVISIONOFFICE USE ONLY: SCANK
DATE FILED: By
REVISION FEE: O%A, 9 IgPIP Cow
1.
LOCATION/SITE
ADDRESS:
PERMIT #
RECEIPT #�
PLANNING & DEVELOPMENT SERVICES
B*DI G & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 FAX (772) 462-1578
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
Oakland Take Cir. (lot 146)
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2. DETAILED DESCRIPTION OF PROJECT
REVISIONS: '
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3. CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NASb CEN'
ADDRESS: 5
CITY: W F-0 i rr-k.
PHONE (DAYTIME).
4. OWNER/BUILDER INFORMATION:
5.
NAME:
ADDRESS:
CITY:
PHONE:
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IWMR.IBr�1: : ► CmaUIl�
STATE: "' ZIP:
FAx: 561-720-1341
NVR, INC. dba RYAN HOMES
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ARCHITECT/ENGINEER INFORMATION:
NAME: AB DESIGN GROUP INC.
ADDRESS:
CITY: LONGWOOD
PHONE (DAYTENIE): 407-774-607i8
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Revised 07/22/2014
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STATE:
FAX:
ZIP:
STATE: FL ZIP: 32750
FAX: 407-774-4079