HomeMy WebLinkAboutREVISIONOFFICE USE ONLY:
DATE FILED: _
REVISION FEE:
SCANNED
BY
St. Lucie County
PERMIT # 't63-63'" / oey-C S-f7
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34952-5652
(772) 462-1553 FAX (772) 462-1578
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
1. LOCATION/S71P31
ADDRESS: S US 1 Port St. Lucie F134852
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
3.
4.
Engineer added additional information requested by plans examiner
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC1515114 Sf. LUCIE COUNTY CERT. #:
BUSINESS NAME: O, nc
QUALIFIERS NAM Roderick Waller
ADDRESS: 80l:Virginia ve suite 61
CITY; Port Pierce STATE: FE ZIP:
PHONE (DAYTIME): - FAX: 772-907-0420
OWNER/BUILDER INFORMATION:
NAME: Tree of Life Missionary Baptist Church
ADDRESS:
CITY:
PHONE:
STATE -FL ZIP: 34852
772-626-8735 FAX:
5. ARCHITECT/ENGINEER INFORMATION:
NAME: Wayne Gandy
ADDRESS:
CITY: Orlando STATE: FL ZIP: 32805
PHONE (DAYTIME): 321-310-2704 FAX:
Revised 0722/2014
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