HomeMy WebLinkAboutREVISION - BUILDING PERMIT 3-22-19USE ONLY:
DATE FILED:
FEE:
PERMIT #
RECEIPT #
(,yoq-oo2y
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
REVIEWED FOR 2300 VIRGINIA A COU�r�I�z C r 1 \7
CODE COMPLIANCE FORT PIERCE, FL 3 ED FOR C0A UPLIANc
ST. LUCIE COUNTS
(772) 462.15 (DATE VIEWS BY
Z
BO00 APPLICATION FOR BUILDING F9 T MUST >3 I{EPT 0� JQ
1-3
PROJECT INFORMATI(KIva INSPECTION WILL BE *WE,
LOCATION/SITE
ADDRESS:
1776) 06Gon.wk"G LN 1 - ""Tcf
ra ��._ n
vv m\11=LI
DETAILED DESCRIPTION OF PROJECT a ucie �Ota iy
REVISIONS:
Revs s�� �h�r�v C'a�s w'►�H Q ��F�,.► 13-/c
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: K8;LqbVlw ST. LUCIE CO CERT. #:
BUSINESS NAME: i vsT-,-tAnr n ` -.,(-
QUALIFIERS NAME: _m pl-L lmt
ADDRESS: RiNg ;„-c L
CITY: f P;rcc-t S ATE: f L A— ZIP: 3 y 4 4 f
PHONE (DAYTIME): 7:? Z 201 *7797 FAX: --17 2 L/L S 7 973
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME:
ARCHITECT/ENGINEER INFORMATION:
NAME: A 70c ;-c5
ADDRESS:
CITY: f-T- pSTATE:ZIP: 3yPyf—
PHONE (DAYTIME): 77 Z 1/60 -77 S'/ FAX:
SLCCC: 9123109
Revised 06130/17 KhmoSION