HomeMy WebLinkAboutREVISION - BUILDING PERMIT APPLICATIONOFFICE USE ONLY:
DATE FILED: PERMIT #
REVISION FEE: RECEIPT #
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
LOCATION/SITE
ADDRESS:
7203 S Indian River Drive, Fort Pierce Florida 34982
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Added the BTU load of the future water heater to be instaled at a later date.
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: i STATE:
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
NAME Energized Gas
ADDRESS:4242 Bandy blvd
CITY: Fort Pierce
PHONE (DAYTIME: 772-466-1095
SCANNED
BY
St Lucie County
ST. LUCIE CO CERT. #:
ZIP:
FAX:
P
STATE: Fl ZIP: 34981
FAX:
ARCHiTECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: ,
PHONE (DAYTIME):
I
SLCCC: 9123109
Revised ;06/30/17
1
STATE:
FAX:
ZIP: