Loading...
HomeMy WebLinkAboutREVISION 1OFFICE USE ONLY: DATE FILED: REVISION FEE , 00 PERMIT # 170 r - PQ TCP RECEIPT # PLANNING & DEVELOPMENT SERVICES , BUILDING & CODE REGULATION DIVISION ,�- 2300 VIRGINIA AVENUE FORT PIERCE, FL 34902-5652 (772) 462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS MEE SCANNED PROJECT INFORMATION BY St. Lu"C$ja QN/SITE ADDRESS: ,.�;;�,, 203 Southland Drive, Fort Pierce, FL DETAILED DESCRIPTION OF PROJECT REVISIONS: deferred submittal truss cut engineering sheets CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CGC047338 ST. LUCIE CO CERT. #: BUSINESS NAME: RJ Maddox &Associates QUALIFIERS NAME: Robert Maddox ADDRESS: 624 NW Palm street CITY: .Stuart STATE: FL ZIP: 34904 PHONE (DAYTIME): 772-634-5454 FAX: O WNERIBUILDER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME: FAX: ARCHITECT/ENGINEER INFORMATION: NAME: Bernard Jones of Advanced Design & Building ADDRESS: 17968Iteth Ave. CITY: Jupiter_ STATE: FL ZIP: 33478 PHONE (DAYTIME): 561-216-1000 FAX: SLCCC: 9123109 Revised 06130117