HomeMy WebLinkAboutREVISION - BUILDING PERMIT 1-28-19FILE COPY
OFFICE USE ONLY:
DATE FILED: / 2
REVISION FEE:
LOCATION/SITE
ADDRESS:
PERMIT #_ /6 r0
RECEIPT #
PLANNING & DEVELOPMENT SERVICES RECEIVED
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE JAN 2 g 2019
FORT PIERCE, FL 34982.5652
(772) 462-1553
ST. Lucie County, Permitting
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION SCANNED,
By
St Lucie CoUnjy
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DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION: G
STATE of FL REG./CERT. #: X6 L (D d
BUSINESS NAME: /?(- ryl C d n
QUALIFIERS NAME: C a/z L 2
ADDRESS: C( 2Z
�L CITY: STATE: .,r—
PHONE (DAYTIME): & .j, r/ r q( r7 .r i y
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
ST. LUCIE CO CERT. #:
FAX:
FAX:
: 31Y OYd- to
ZIP:
NAME: hJ
ADDRESS: Zr s ,e-, Ps �« o
CITY: STATE: f� ZIP: 3 y 9 p
PHONE (DAYTIME): �72 S'� °ST% Z FAX:
SLCCC: 9123109
Revised 06/30/17 REVISION