HomeMy WebLinkAboutPERMIT REVISION 12-4-18OFFICE USE ONLY: /
DATEFILED: `"1n' 4 6] 1 PERMIT #
REVISI6u N FEE: -7S00 RECEIPT #
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PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION flnII
2300 VIRGINIA AVENUE 40AN N ED
FORT PIERCE, FL 34982-5652 MY
(772) 462-1553 FAX (772) 462-1578 S4 Lucie County
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
ADDRESS: SITE 1(6 nr C ^ 2y CAtJAL R-p.
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
4 ApPEV 111 K ll l SCP-EEM iA&CA W ITl4 PEA-KLtgl p Scraw F60F
(5) CmAOGED hWoM CRKR.`I ft-er rl--PosT5 To saeun1 wau- AT POLL/ 2ooF
CONTRACTOR INFORMATION: q
STATE of FL REG./CERT. #: RX 11064919 ST. LUCIE COUNTY CERT. #: g I
BUSINESS NAME: Qinrye2r Screen CO. 114c .
QUALIFIERS NAME: rM I g-lA P(. r M P W IAA.j
ADDRESS: Sul S«Tjxiiam ST.
CITY: sar 5 • Y STATE: R- ZIP:
PHONE (DAYTIME): fin-)3w0 -9399 FAX: C7mp 39dr 343
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME: DO IC1 At q- ASs 0 G .
ADDRESS: Pa So x 1003C)
CITY: TA m Phi STATE: _
PHONE (DAYTIME): &-;, 875-99 .ri 6
Revised 07/22/2014
FAX:
FAX:
ZIP:
ziP: 336101