Loading...
HomeMy WebLinkAboutAPPLICATION FOR BUILDING PERMIT416AIYIYW OFFICE USE ONLY: DATE FILED: REVISION FEE: 1. -LOCATION/SITE ADDRESS:. 2. 3. 4. 5. PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGESIA.AVENUE FORT PIERCE, FL 34982-5652' (772)462-1553 APPLICATION FOR BUILDING PERM `PROJECT INFORMATION Per,, . olFAlq-%l -D;-r I' r ZU13 Alit St- DETAILED DESCRIPTION OF�-1 REA71SIONS: pt Q3 CONTRACTOR INFORMATION: STATE of. FL REG./CERT. #: ST. LUCIE COUNTY CERT. #: BUSINESS NAME: Sec m\c-e- QUALIFIERS NAME: ADDRESS: CITY:. STATE: ZIP: 6c\-- FAX: PHONE (DAYTIME): ASa4�Nc� -zs OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: Qs� STATE:-Vt ZIP: PHONE: FAX: ARCHITECT/ENGINEER. INFORMATION: NAME: ADDRESS: CITY: 'DTX 1kno. SLCCC: 9/23/OS Revised 04/2k STA trlom4c--- 7 OF 4�q At