HomeMy WebLinkAboutREVISION BUILDING PERMITOFFICE USE ONLY:
DATE FILED: PERMIT NUMBER: O'l 0 3 - c)q I
REVISION FEE: I-5.° RECEIPT NO.:
RGA WED
BY
ST. LUCIE COUNTY Lucie CountY
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING & ZONING
e 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
•462-1553 .
APPLICATION FOR BUILDING PERAMIT RE
PROJECT INFORMATION py
1. LOCATION!SITE
ADDRESS: dq 59 • agb3 w . wdwalja RMA .
2.
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3.
4.
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DETAILED DESCRIPTIONS OF PROJECT
CONTRACTOR INFORMATION
ST. OF FL REGJCERT# CCsC 9ST. LUCIE COUNTY CERT.M
BUSINESS NAME: r S 8
Qualifiers Name: rb
ADDRESS:
CITY: IeYo-4__ STATE:_ L_ ZIP: 34gX 1_
PHONE(DAYTI.NIE): 4b(4-91inn FAX 03CT)
ARCHIT/E\GINEER:
NAME:
ADDRESS: _
CITY: _
PHONE (DAYTI}IE): _
STATE: I%L ZIP:", 34gK�
FAX# r7 g 5 • (nil 6 5
`-gY~ Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1653 'Fax: (772) 462-2522
http:llstiucloco.govlce
Date: 12 October 2007
t
Job
Address: 2959-2963 W MIDWAY RD BUILDING 2
RI
ceived By: gersteml
Paid With: CK
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Building
Receipt
Paid By: DRAWDY BROTHERS CONSTRUCTION INC Sign:
Receipt#: 0000058125
'ermit Number: SLC- 0703-0417
Amount: $100.00
Jredit Card Number:
Check Number: 4217
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