HomeMy WebLinkAboutREVISIONOFFICE USE ONLY: RECEIVZED JUL 09'2015
DATE FILED: -I � C\ PERMIT # �LA 13 Wr- 5
REVISIONFEE: RECEIPT# 10:1101
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PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION SCAJVN�e
2300 VIRGINIA AVENUE SY 1)
FORT PIERCE, FL 34982-5652 St. tljcie CO3j)7t
(772) 462-1553 FAX (772) 462-1578 J,
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/Sig
ADDRESS: 99 S Ocean Blvd. Jensen Beach Fl.
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
3.
4.
5.
Requested slab information and electrical information on walk in cooler & additional revision to
replace existing asphalt with concrete driveway
INFORMATION:
STATE of FL REG./CERT. #: CGC1519045 ST. LUCIE COUNTY CERT. #:
BUSINESS NAME: Team Paik-s fiLL;.
QUALIFIERS NA Ry-an Strom
ADDRESS: 61Y'SE Palm Beact! R-d
CITY: Stuart STATE: Ff ZIP: 3499
PHONE (DAYTIME): FAX: 77T--7ST-Z62U-
OWNEWBUILDER INFORMATION:
NAME: Hutchinson Shoppes LLC
ADDRESS: 444 Brickle Ave
CITY: IvIlann STATE: Fl ZIP:
PHONE: FAX:
NAME: Joe McCarty
ADDRESS: 90() Osceola Street
cIrry: Stuart STATE: Fl
PHONE (DAYTIME): 287-6735 - FAX:
Revised 07/22/2014 M MIN 93 A& 0 Aft
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OFFICE USE ONLY:
RECEIVEDIUL0910
DATEFTLED: -I
REVISIONFEE: -1Q;A%j
1.
PERMIT # VLA 1-;L-
RECEIPT # I EQ I a
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 FAX (772) 462-1578
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/S%
ADDRESS: 99 S Ocean Blvd. Jensen Beach Fl.
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Requested slab infonnation and electrical information on walk in cooler & additional revision to
replace existing asphalt with concrete driveway
3. CONTRACTORINFORMATION:
STATE ofFLREG./CERT.#: CGC1519045 ST. LUCIE COUNTY CERT. #:
BUSINESS NAME: Teatu Parks him
Ityan Sam
QUALOURS NAM:SE r, 1111 Duitun nu
ADDRESS: Ff 3499
CITY. Stuart
STATE 77-277-9r--O� ZIP:
pHONE(DAyrEME): //Z-/8t-!6t6 FAX:
4.' OWNERIBUILDER INFORMATION:
NAME: Hutchinson Shoppes LLC
ADDRESS: 444 Brickle Ave
CITY: STATE: Fl ZIP:
PHONE: FAX:
5. ARCMTECT/ENGINEER INFORMATION:
NAME: Joe McCarty
ADDRESS: 9UU Osceola Street
CITY: Stuart STATE: Fl ZIP: 34994
PHONE (DAYTudE): 287-6735 FAX:
Revised 07/22/2014