HomeMy WebLinkAboutREVISIONS BUILDING PERMITSOFFICE USE ONLY:
DATE FILED:
REVISION FEE:
LOCATION/SITE
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
DETAILED DESCRIPTION OF PROJECT
CONTRACTOR INFORMATION:
FILE 0�
STATE of FL REG./CERT. #: . ST. LUCIE CO CERT. #:
BUSINESS NAME: P6rr Sr LUC I C PM P&llArj e 5
QUALIFIERS NAME: I/yx.,lr, .1 fo
ADDRESS: D Yh
CITY: �L STATE: ZIP:
PHONE (DAYTIME): ���� .asB Le FAX:
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTI
SLCCC: 9123109
Revised 06130117
FAX:
OFFICE USE ONLY:
I
DATE FILED:
REVISION FEE: `IS•OO
LOCATION/SITE
ADDRESS:
Mot— O Tlz (
FILE COPY
7 y/(�
PERMIT # l /0 US 2Z
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
DETAILED DESCRIPTION OF
REVISIONS:
CONTRACTOR INFORMATION:
SCANNED
BY
St Lucie County
cwse8 ERergy GotcS
STATE of FL REG./CERT. #:
BUSINESS NAME: �SL PPp('erT1 eS 1N L
QUALIFIERSNAME: fn hgTk11TO
CITY: V S L- STATE: I
PHONE (DAYTIME): ?7) yG C-oA b
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC. 9123109
Revised 06130117
STATE:
ST. LUCIE CO CERT. #:
PAX:
ICI"
ZIP:
ZIP:
OFFICE USE ONLY:
DATE LED: ) 0-
REVISION FEE: �r> Od
LOCATION/SITE
ADDRESS:
PERMIT # ITV / - o 5 e�-7
RECEIPT # � K)q Y'S
PLANNING & DEVELOPMENT SERVICES RECEIVED
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652 OCT 01 2019
(772)462.1553
FsT.ucie County, Permitting
4)
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: ST. LUCIE CO CERT.
BUSINESS NAME: '��'5 t, L e ryl pa
QUALIFIERS NAME: r y= V1�I riyi,T f� b
ADDRESS: o LDA j�v+ y'>4
CITYSTATE: 1F I' ZIP: _ 3,495
PHONE (DAYTIME): FAX:. T
1111AI`►1-w7/:IifI117—M114Will-Tel Ill /11111 I11W
NAME: �Y* IL YVMcnmM1 1. 0
ADDRESS: DVl
CITY: P S L_ STATE: ) ZIP: 3�PCS 3
PHONE (DAYTIME: -7 7 )` 121-Ie' 3 /7(-0 FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
rwx:
ZIP:
SLCCC: 9123109
Revised 06130117 REVISION