HomeMy WebLinkAbout22020536- REVISION..• {M•
OFFICE USE ONLY:
DATE FILED: • 1 • v
REVISION FEE: py
PERMIT #: z-ZO Z o 5 3 Co
RECEIPT #:
IE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING & ZONING , wA
2300 VIRGINIA AVENUE.;';
FORT PIERCE, FLORID 9 2,
772.462-155 K:
APPLICATIONFOR BUILD
1. LOCATION/SITE
ADDRESS:
PROJECT
2=s�� cv
w1
2. DETAILED DESCRIPTIONS OF PROJECT
REVISIONS:
N \ 1 L- v M'3
To Goe \ZZj� HA-rtpf`l. �' ��V1 1
I
r`
3• CONTRACTOR INFORMATION:
ST. OF FL REG/CERT #: cG cA 4 Z l Z
BUSINESS NAME: -G ST. LUCIE COUNTY CERT #:
QUALIFIERS NAME: ° 1 Y-N C---T vz L
ADDRESS:
Z S"TL
CITY:
PHONE (DAYTIME): -i 1 Z- y STATE 1�'L. ZIP: 3 Z 1 c p
FAX #
4. ARCHIT/ENGINEER: t c-K-
NAME: C rk �,-&
ADDRESS: "Z•e� c_YC. c� S S o C t T �.
z- C� o o a �-C �p� q C• ��-Z
PHONE (DAYTIME): c, L, L o 0 o STATE�ZIp: 37 Z o
FAX##�
12/19/02