HomeMy WebLinkAboutREVISIONSOFFICE USE ONLY:
DATE FILED: 1 A;)-- o- Is
REVISIONFEE: !J5.0'�
1.
01
3.
4.
5.
LOCATION/SITE
ADDRESS:
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PERMIT # woo- V D Luca
RECEIPT # CUunty
PLANNING & DEVELOPMENT SERVICEECEIV®
BUILDING & CODE REGULATION DIVISIONN°° �a
2300 VIRGINIA AVENUE -
FORT PIERCE, FL 34982-5652 DEC 0 8 2015-
(772) 462-1553 FAX (772) 462-1578
PERMITTING
APPLICATION FOR BUILDING PERMIT RE%SFON$ounty, FL
PROJECT INFORMATION
5 0 5 9 -)1 14t2
DETAILED DESCRIPTION OF PROJECT
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS: l9
CITY:
PHONE (DAYTIME):, b l _
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRE:
CITY:
PHONE
Revised 07/222014
ST. LUCIE COUNTY CERT, #:
STATE: (_ ZIP: 3� D
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OFFICE USE ONLY:
DATE FILED: 8' 15
REVISIONFEE: '1ST
1.
2.
LOCATION/SITE
ADDRESS:
JO r n SCANNED
PERMIT # �Y
RECEIPT #III t. LUCIB County
PLANNING & DEVELOPMENT SERVICE' EC IVE
BUILDING & CODE REGULATION DIVISIO H
FORT P BCE, FL 344982-5652 DEC 0 8 2015
(772) 4624553 FAX (772) 462-1578
PER10ITTING
APPLICATION FOR BUILDING PERMIT REjISj&&unty, FL
PROJECT INFORMATION
/ ,
DETAILED DESCRIPTION OF PROJECT
REVISIONS: ®, •+ 1
3. CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: C.6/C I sl
BUSINESS NAME: t
QUALIFIERS NAME:
ADDRESS: l
CITY:
PHONE (DAYTIME):
4.
OWNER/BUH.DER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE:
t- E
ST. LUCIE COUNTY C
FAX:
O.?
5. ARCHITECT/ENGINEERINFORMATION:
NAME: N L FM 'L( I Q
ADDRESS: 'v Z 11132
CITY: f STATE: '� ZIP: :?-b l'a
PHONE (DAYTIME): _ FAX: :7 -77— _ 4,c� ,f`
Revised 07/=014
REVISION