HomeMy WebLinkAboutREVISION 7-2-18OFFICE USE ONLY: G C- N N 2 05
DATE FILED:—!l- 2, aly
REVISION FEE:—!A�715 L�o St Lucie CoUgy
LOCATION/SITE
ADDRESS:
PERMIT # %'06-62kl
RECEIPT # ( YD 1 --�2
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
; ; 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
L-ucRLECEIVED
JUL 0 2 2018
T _ S L
. Lucie County, Permi]tting
STATE of FL REG./CERT. #: C & 6 6 6 f V / 2 ST. LUCIE CO CERT.
BUSINESSNAME: M-el-Q�q C Cv, L�\ C,,
QUALIFIERS NAME: C E
ADDRESS: IM-1 5. G C C- 4 10 r %\a
CITY: Rja�feA. jS(A&4-N STATE: i,'-- L zip: �t-1
PHONE (DAYTIME): In I- 1,L5 - c, q 3 q— FAX:
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME)
STATE:
FAX:
F
ZIP:
SLCCC: 9123109
Revised 0613 0/17
mEVISION