HomeMy WebLinkAboutREVISION - BUILDING PERMITF
r_
OFFICE USE ONLY:
DATE FILED: .'7a `� ! L � l pF.Ri 1902-0350
REVISION FEE: 5:jri 6® RECEIPT#
PLANNING & DEVELOPMENT SERVICES R tEIVED
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE MAR 2 0 2019
FORT PIERCE, FL 34982.5652
(772) 462-1553 ST. Lucie County, Permitting
APPLICATION FOR BUILDING PERMIFrLLE Copy
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
2421 Atlantic Beach Blvd
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Removing the Versa Shield NOA and replacing it with the Polyglass (polystick) MTS NOA.
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CCC1329081
BUSINESS NAME: PetersenDean Roofing & Solar Inc
QUALIFIERS NAME: Bryon Keith McStoots
ADDRESS: 1011 Fairfield Drive
CITY: West Palm Beach STATE: FL
PHONE (DAYTIME): 561-881-0660
OWNER/BUILDER INFORMATION:
NAME: Herman Summerlin
ADDRESS:2421 Atlantic Beach Blvd
CITY: Hutchinson Island STATE: FL
PHONE (DAYTIME: 772-332-8492
ARCHITECTIENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
St CUcie cont,"
ST. LUCIE CO CERT. #:
Imo."
ZIP: 33407
561-881-0699
ZIP: 34949
rAA:
SLCCC. 9123109 REVIEWED FOR
Revised 06130117 CODE COMPLIANCE
ST. LUCIE COUNTY
BOCC
ZIP:
FAX:
p
y li
'meµ