HomeMy WebLinkAboutAPPLICATION FOR PERMIT REVISIONOFFICE USE ONLY:
DATE FILED:
REVISION FEE:
PERMIT #
RECEIPT #
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
LOCATION/SITE
ADDRESS:
11820 W Midway Rd. Ft Pierce, FL 34945
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Revisions to building and zoning comments
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC1520537
BUSINESS NAME: Cole Construction Services,LLC
QUALIFIERS NAME: Jared Modine
ADDRESS:
CITY: STATE: _
PHONE (DAYTIME): 772-519-0558
OWNER/BUILDER INFORMATION:
NAME: James and Michelle Tyson
ADDRESS:
CITY:
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME: Architectonic, Inc
ADDRESS:
CITY: STATE:
PHONE (DAYTIME): 772-460-7751
SLCCC: 9123109
Revised 06130117
ST. LUCIE CO CERT. #: 29778
FAX:
FAX:
1' AA.
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