HomeMy WebLinkAboutREVISION - BUILDING PERMITit -D'o.v
4 OFFICE USE ONLY:
DATE FMED: -\\MoN
oN
REVISION FEE: �I S • a d
LOCATION/SITE
PERMIT # I 0 V"Z S 6
RECEIPT # %SS aAlr
PLANNING & DEVELOPMENT SERVICES.
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE, FL 34982.5652
(772) 462a1553 SEP 9 9 2019
APPLICATION FOR BUILDING PERMIT REVISIONS ST. Lucie County, Permitting
PROJECT INFORMATION
CONTRACTOR INFORMATION:
STATE of FL REG./CENT. #:
BUSINESS NAME: U11A
ADDRESS: I'U
CITY: SiCIfL
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
ST. LUCIE CO CERT. #:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTDAE:
ARCHITECT/ENGINEER INFORMATION:
NAME: _
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
STATE:
FAX:
I,�.W
ZIP: