HomeMy WebLinkAboutREVISION - BUILDING PERMITOFFICE USE ONLY:
DATE FILED:
REVISION FEE: �\ • fU
PERMIT #
RECEIPT #
PLANNING &DEVELOPMENT SERVICES BY
S4. Lucie.Coun4Y
BUILDDW &•CODE REGULATIOiN DIVISION
2300 VtRGiNIA AVEWE
FORT PIERCE, FL 34982-5 I
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(772)462-1553
APPLICATION FOR BUILDING PERMI E
lbf PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: l o t o 4 b l
BUSINESS NAME: TC!rm5
QUALIFIERS NAME:
ADDRESS: 2Q
CITY: ST STATE:
PHONE (DAYTIME): t-) b1 •-1 bq 1 `t CIO
OWNERBUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
•,ReWsed 06130117
STATE:
ST. LUCIE CO CERT. #: CJ s-
ZIP:
F.
FAX:
VA12
ZIP:
FAX:
REIELM 1%
SEP 112019
Permitting. Department
St. Lucie;,County, FL
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OFFICE USE ONLY.
DATE FILED: q. I - )
REVISION FEE: ! S• O a
PERMIT # `�D5 S3�
RECEIPT #
SCANNED
PLANNING & DEVELOPMENT SERVICES BY
BUILDIN"CODEREGULATION DIVISION St. Lucie County
"2300MRGINIA AVENUE
FORT PIERCE, FL 34982.5652
7APPLICATION FOR BUILDING FERMIIRE]WISION
PROJECT INFORMATION
LOCATION/srm
ADDRESS:
9A\
e4,3 -Nei 5
DETAILED DESCRIPTION OF PROJECT
REVISIONS: 6�
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. /#�,:T d 1 �� � q b1
BUSINESS NAME: 1 V M-el M tar
QUALIFIERS NAME: e�j Utz
ADDRESS: Li\AlPU
CITY: ST z\A)\3 \D STATE:
PHONE (DAYTIME): 4 bT --1 bq 1 `t clO
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
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1 2eo v � 5
ST. LUCIE CO CERT. #: Li s-
ZIP: �l-1
FAX: CA(() i Y6 So
VA -A:
STATE: ZIP:
FAX:
SEP 11 2019
Permitting Department
St. Lucie County, FL