HomeMy WebLinkAboutREVISION BUILDING PERMITI
e
OFFICE USE ONLY: Q %
DATE FILED: v /" PERMIT #
REVISION REGEIP� #-
a
PLANNING & DEVELOPAM4YSERWCI g5 ; ..
BUILDING & CODE REGULATION DIVISIONS Fv p •' j
,COUNTY2300 VIRGINIA AVENUE _ �I� �y s +'n �. ^<•
• R I D A---*---
FORTPJIERCE,Fl, 3498275652 _ _. _ '. `�-`" �•
--
-- -
_ APPL_ ICA_ TION FOR BUIIWING PERMIT
PROJECT INFORMATION
F
1. ADDRESS:
BYTE % 1 67 S U S I / r
Y" n'
_ _ f a.
St. Lucie County4 . J
2. DETAILED DESCRIPTION OF PROJECT rt
REVISIONS:
n >+
--
3. CONTRACTOR INFORMATION:
'-Cr(
STATE of FL REGJCERT. #: ST. LUCIE COUNTY CERT.
#:
BUSINESNAME: Kim Ccvin' 414- fu
QUALMIERSNAME: R4h,id K;�cI L_ 7i
ADDRESS: 5 f- 1),
CITY- STATE: f'L
ZIP:
3�
PHONE (DAYTIME): FAX:
/S--70
4. O W NER/B INFORMATION:
��.Fib: L t; LLC
NAME:
ADDRESS: 1 P p C ,
CITY: STATE: A/ Y
ZIP:
(i o 6 �
PHONE: FAX:
S. ARCHTTECT/ENGINEER INFORMATION:
NAME: arjr, '
ADDRESS: ll C4Lo J d�
CITY: )h h STATE: FL
ZIP:
PHONE (DAYTIME): -112 -z 0'7 - g'a St- FAX-
SLCCC: 923/09
Revised 04262010