HomeMy WebLinkAboutREVISION 1OFFICE USE ONLY:
DATE FILED: 2/-1 St.
REVISION FEE: /S U U
LOCATION/SITE
6UANNED
BY PERMIT # 1.76y - O r A d
Lucie County
RECEIPT# Li000 / 2.yS2 y
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
ORT PIERCE, FL 34982.5652
C(772® vF
) 462.1553
APPLICATION FOR BUILDING PERMIT REVISI S c ��
PROJECT INFORMATION
ADDRESS:
321� 5. Lf1lCcyitaJ c..�'Ie.. t3laQg � %
Few D.'.AcIt. A'/ 3ycvl�
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME: Ud ocr'4y .StH):A" I
QUALIFIERS NAME: G(� C O&ri •v
ADDRESS: ./// Oled l ej'r- 14
CITY: 1/f-rn Bart..& STATE: P'7
PHONE(DAYTIME): V71-707-8G7&
OWNER/BUILDER INFORMATION:
NAME:
CITY: &&,r P rt c
PHONE (DAYTIME:
ARCtUTECT/ENGINEER INFORMATION:
r„
ST. LUCIE CO CERT. #:
FAX:
F/
FAX:
NAME: r %I3 L/ .6e44C
ADDRESS: /� _ZW T4 S r e ..e T-
CITY: afro 5er.,,t16 STATE: jel
PHONE (DAYTIME): 277T%T& 1. Oo3,< FAX: _
SLCCC. 9123109
Revised 06130117
ZIP:
ZIP:
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