HomeMy WebLinkAboutREVISION - BUILDING PERMIT 10-4-18i
OFFICE USE ONLY:
I
DATE FILED: t OkLl
I
REVISION FEE:q5-00`tl-5--rj(p,j3
RECEIVED
OCT 0112010
Perrplttinq Department
St. WOO County
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PERMIT # 91,/ 0-
RECEIPT #
PLANNING & DEVELOPMENT
BUILDING & CODE REGULATION
2300 VIRGINIA AVE
FORT PIERCE, FL 3498
(772)462-1553
APPLICATION FOR BUILDING PI
PROJECT INFORMATION
LOCATION/SITE
SCANNED
ADDRESS: BY
Pl)le- pry Cc-L2P4
DETAILED DESCRIPTION OF PROJECT
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: A 6 51 5
BUSINESS NAME: Elic)Kldo- Clml i
QUALIFIERS NAME: , Ck n-ke, I � e i j le v-
ADDRESS: 16260 -3, /ec.1717191- 14L-V
CITY: 54-ja-f STATE: F—
PHONE (DAYTD&):
� OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
ST. LUCIE CO CERT. #:
FAX
ST. LUCIE COUNTY BUILDING DIVISION
REVIEWED r—OR C PLIAN
REVIEWED BY
mu* 1 EPT ON JOB''
STATE: Ot &MUE
i ARCHITECT/ENGINEER. INFORMATION:
NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME):
FAX:
ZIP:
I SLCCC.- 9123109
Revised 0613 0/17