HomeMy WebLinkAboutREVISION 1-7-19OFFICE USE ONLY: �SCANNED
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DATE FILED: 1.7.2019 S$ Lucia Coun ppRMIT # 1512-0025
REVISION FEE: J RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL neEVIISION
(772) 462-1553 FAX (772) 772) 462
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
1. LOCATION/SITE
ADDRESS: j915 duneside Drive
2. DETAILED DESCRIPTION OF PROJECT I
REVISIONS:
New Residence updated NOA's• Trusses
3. CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC-
BUSINESS NAME:
QUALIFIERS NAM17
ADDRESS: b N Jog Road —
CITY:
PHONE (DAYTIME):
4. OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE:
�i
8625
11 STATE:
code
LUCIE COUNTY CERT. #:
5. ARCHITECT/ENGINEER INFORMATION:
NAME: Stofft
ADDRESS: Swinton ve, a ray
CITY: STATE:
PHONE (DAYTIME): i
I
Revised 07/22/2014 ZOO
FAX:
ZIP:
ZIP:
ZIP:
RECEIVED
W I
JAN 11 Z019
Permitting Department
St. Lucie County, FL