HomeMy WebLinkAboutREVISION - BUILDING PERMITOFFICE USE ONLY:
DATE FILED: 12/5/2019 PERMIT # 1811-0434
REVISION FEE: 75.00 RECEIPT # J!Srl'R
I
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT. PIERCE, FL 34982-5652
(772) 462-1553 �GC'
APPLICATION FOR BUILDING PERMIT REVISIONS O(1nj/
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
5821 MUSTANG CIR , PORT ST LUCIE, FL 34987
I
i
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Revised energy calcs.
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
OWNER/BUILDER INFORMATION:
NAME: GLENN D MUSE
ADDRESS: PO Box 880034
CITY: PORT ST LUCIE,
PHONE (DAYTIME: (772) 418-3837
STATE: FL
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
STATE:
I
ST. LUCIE CO CERT. #:
FAX:
ZIP:
ZIP: 34988
ZIP:
t:-
i