HomeMy WebLinkAboutREVISION BUILDING PERMITOFFICE USE ONLY:
DATE FILED: I I Ll�I
REVISION FEE:
1.
PERMIT # 1811-0501
RECEIPT #
PLANNING & DEVELOPMENT SERVICES RICEIM
BUILDING & CODE REGULATION DIVISION JAN 04 2019
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 D"artment
(772) 462-1553 FAX (772) 462-1578 'k:. 4,d60 Lbunty
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/Sjj
ADDRESS: CAMINO DEL RIO
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
3.
4.
CHANGED PLACEMENT OF HOME ON LOT
CONTRACTOR INFORMATION:
g cle (CO. �
o. '
Inrt
Doiel p ved —.LL
STATE of FL REG./CERT. #: ST. LVCIE COUNTY CERT. #: 8898
BUSINESS NAME: 'Corpora ion
ITLIFHERS N
Q 800a South USTrw-y—. i
ADDRESS:
CITY: Fort t. tu-cie
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
NAME: Wynne Building Corporation
STATE:
FAX:
ADDRESS: BUuu �iou1n U;!� Ilwy. 1 auice
CITY:
PHONE: (772) 878-5513
5. ARCHITECT/ENGINEER INFORMATION:
NAME: BRADEN & BRADEN
ADDRESS:
CITY:
PHONE (DAYTIME):
Revised 07/22/2014
(772)878-7656
\\q\-0<�(,�-)
FI E DOPY
SION
too
t.
,s-
W
ny.
�:Zy/�..
1°t
Mt .
m 1Q9 r
fy .y✓ `
Lb0 3
1
p to
le I I"?�f
)Tcce
Usk