HomeMy WebLinkAboutREVISIONJ p�
OFFICE USE ONLY:
DATE FILED: �a °A� 13 PERMIT # SL(-
REVISION FEE: RECEIPT # I
5(;ANNkU
BY
PLANNING & DEVELOPMENT SERVICES St. Lucie County
BUILDING & CODE REGULATION DMSION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 FAX (772) 462-1578
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
1. LOCATION/SITE
ADDRESS:
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
'
THESE- PLANS AND ALL PROposEn wnm4
ARE SUBJECTTO ANY CORRECTIONS
'REQUIRED BY FIELD INSPECTORS THAT
MAY BE NECESSARY IN ORDM TO
COMPLY WITH AL APPLICABLE CGI)ES.
3. CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
ST. LUCIE COUNTY CERT. #: I)qo /
BUSINESS NAME: Mc-
M),J� lLe-
QUALIFIERS NAME: Mc
ADDRESS: /Z?3% Sw Oa -ter
6/t
CITY:
TSTATE: 10( ZIP: 2t�S g7
PHONE (DAYT E): 772 215— 729E
FAX:
4. OWNERMUH.DER INFORMATION:
NAME:
ADDRESS:
CITY:
STATE: ZIP:
PHONE:
FAX:
5. ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE: ZIP:
FAX:
Revised 07/22/2014
H VISION