HomeMy WebLinkAboutAPPLICATION FOR BUILDING PERMIT REVISIONSf
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OFFICE USE ONLY:
DATE F LED:
REVISI N FEE:
PERMIT # O U U — to U
RECEIPT # 4J
ANNING & DEVELOPMENT SERVICES
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T LUCIE COUNTY BUILDING DIBUILDING & CODE REGULATION DIVISION
RENREVIEWED FOR COMPLI CE 2300 VIRGINIA AVENUE
EWED BY FORT PIERCE, FL 34982-5652
DA E Z 772 462-1553
p NS AND PERMIT MUST BENO INSPECTION WILL
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a� APPLICATION FOR BUILDING PERMIT
q 0 PROJECT INFORMATION
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LOCATION/SITE
ADDRESS:
4245 S Indian River Dr
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Changed size of tank from (2) 120 gallon tanks to (1) 500 gallon tank
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: FL34747
BUSINESS NAME: Energized Gas
QUALIFIERS NAME: Blake Cowdell
ADDRESS: 4252 Bandy Blvd
CITY: Fort Pierce STATE: FL
PHONE (DAYTIME): 772-466-1095
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME):
SLCCC.- 9123109FILE COPY
Revised 0616/3011/17
ST. LUCIE CO CERT. #:
ZIP: 34981
FAX: 772-318-6672
ZIP:
ZIP:
DEC - 3 2018
Permitting Department
St. Lucie County, FL
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MAXWELL GEUEPATIAL, INC.
4899 Kirby Loop #load, Fort Pierce, FL $4981
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