HomeMy WebLinkAboutAPPLICATION FOR BUILDING PERMIT REVISIONSOFFICE USE ONLY:
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DATE FI LED: /04•
REVISI N FEE:
PERMIT #
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION SCANNED
2300 VIRGINIA AVENUE BY
FORT/PIERCE, FL 34982-5652 a LUCle coney
(772) 462-1553
APPLICATION FOR BUILDING PERMITR! ts,l
PROJECT INFORMATION ON
LOCATION/SITE
ADDRESS:
4245 S Indian River Dr
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Changed generator location
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: EC13006279
BUSINESS NAME: Energized Electric
QUALIFIERS NAME: Michael Flaxman
ADDRESS: 4252 Bandy Blvd
CITY: Fort Pierce STATE: FL
PHONE (DAYTIME): 772-466-1095
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
ST. LUCIE CO CERT. #:
ZIP: 34981
FAX: 772-318-6672
CITY: STATE:
PHONE (DAYTIME: FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME): FAX:
SLCCC: 9123109
Revised 06130/17
ZIP:
ZIP:
DEC - 3 2018
Permitting Department
St. Lucie County, FL
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MAXWELL GEOSPATiAL, INC.
4399 Kirby Loop Aosd, Fort Pierce, FL.349B1
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