HomeMy WebLinkAboutREVISION - PERMIT REVISION 11-5-18OFFICE USE ONLY:
DAT I FILED: (�0 V. !E -z0ll
REV ION FEE: AI r-� p o
PERMIT # -0/ 0 D
RECEIPT # I �'�'S® tD CO
PLANNING & DEVELOPMENT SERVICES 1,5, q,9�P'l 0�f
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE,
FORT PIERCE, FL 34982.5652 RECEIVED
(772) 462.1553
APPLICATION FOR BUILDING PERMIT REVISIONS NOV Q 5 2018
PROJECT INFORMATION 41•, Woe County, Permitting
LOCATION/SITE
ADDRESS:
7e % 'gow iP/ice
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME: L ce-cIe-
QUALIFIERS NAME: o f
ADDRESS: q366.0 S S
CITY: STATE:
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
ST. LUCIE CO CERT. #:
c-h s'j
ZIP:
FAX:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130/17
STATE:
FAX:
r r%n:
ZIP:
ZIP: