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HomeMy WebLinkAboutREVISION BUILDING PERMITFILE COPY OFFICE USE ONLY: DATE FILED: 7— Z PERMIT # S c. G ( $ I Q - O 6 ? i REVISION FEE: RECEIPT # b Yfs�tl. ', F PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982.5652 (772) 462.1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION RFcFdVEL' ,Uc 2 3 2019 i'ermittin9 D, ment LOCATION/SITE ADDRESS: i ( 2 c7 K l R �6 �y Sr Lucie Countl, DETAILED DESCRIPTION OF PROJECT REVISIONS: c To P�jiq /,6 1Cw) GJISED : SPEC .S/f&C-f FOtZ GC-nlGtKATP/Z A/1-0 -MON5 C!e S( t-�f Z kZ /Z ©1 Pl6/L 4 rr R IVO 40 )40 Gr9 LC(/ L A -r lONS CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: 6lC l3 0 p 6 l Z Z ST. LUCIE CO CERT. #: BUSINESS NAME: 6.9. f'v1.Oo;1. G �, (-EG%2l C Z-L C Q01 ALIFIERS NAME: GUY6QY S. MO 0 2 C ADDRESS: z/B EA s— ffi)l So R D 2 CITY: V66-LD 18 C49Ctj STATE: rL ZIP: z 60 PHONE (DAYTIME): 772 - 36� -ZZl S FAX: nJlPi OWNER/BUILDER INFORMATION: i NAME: ADDRESS: CITY: PHONE (DAYTIME: STATE: ARCHITECT/ENGINEER INFORMATION: NAME: N%} ADDRESS: CITY: STATE: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130117 I W.V&% FAX: ZIP: ZIP: Contractor OFFICE USE ONLY: Copy DATE FILED: 7- Z 3 1 PERMIT # s L-C_ ` 0 6 7 i REVISION FEE: o,? RECEIPT # PLANNING & DEVELOPMENT SERVICES K! 5111-1 BUILDING & CODE REGULATION DIVISION �E 2300 VIRGINIA AVENUE �filwE�: FORT PIERCE, FL 34982-5652 f(�� rni (772) 462-1553 ZOl9 Per r SE. dug ��'par� u t wS, YPl t APPLICATION FOR BUILDING PERMIT REVISIONS ooun ment tIn PROJECT INFORMATION y LOCATION/SITE StL �40 ADDRESS: l ZOO PP�2KLRNQ S0JO co DETAILED DESCRIPTION OF PROJECT REVISIONS: {Gvl,sEn : SPA . 0iEE-r I rc�a-CIZ D1)3j6CL,,0jh\ CONTRACTOR INFORMATION: Oa G E1V G /Z r9 17Tv pj()jIq Z)2 AIGD t�IVO 40»� C igLcUL*9Tt0NS STATE of FL REG./CERT. #: C C 13 0 a 6 ! Z Z ST. LUCIE CO CERT. #: BUSINESS NAME: (5. S . m0'0 V QUALIFIERS NAME: Guy S. MO tvu ADDRESS: 2/8 iA5- —1 Ffi)l -G0R CITY: V6/2 D -16 �—rOFlCd STATE: F L PHONE (DAYTIME): 77Z - 360 -ZZ/S QWNER/BUILDER INFORMATION: t-EGT21C t-cc ZIP: '5 Z `16 0 FAX: N! H NAME: lghg ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME: FAX: ARCHITECT/ENGINEER INFORMATION: i I NAME: N%} ADDRESS: CITY: STATE: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130/17 Ly v-'w cvn ✓ ZIP: /6 k ,) SW rr C-4)