HomeMy WebLinkAboutREVISION 1*OFFICE USE ONLY:
DATE FILED: PERMIT # r� I &-- olo!
REVISION FEE. �� �J'v RECEIPT#
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772)462.1553
SCANNED APPLICATION FOR BUILDING PERMIT REVISIONS
BY PROJECT INFORMATION
St. Lucie County 1"01LE IL Ar
LOCATION/SITE
ADDRESS:
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DETAILED DESCRIPTION OF PROJECT
REVISIONS:
RE.DUGE �btZZr SIZE pe')J1 P2r0ivoS rrA
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: t G b c4(1(
BUSINESS NAME: G2 .5r-, Gmv�sfi
QUALIFIERS NAME: 7-,_ s C ri (s 7—
ADDRESS: 43(o i ErAr- P- tv-A-r-�
CITY: I'r - PG/Cy STATE: i�7-L-
PHONE (DAYTIME): -1-) 2- - 3-10 - 4c32 q
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
STATE:
V ST. LUCIE CO CERT. #:
Ca
C.w -
ZIP: 3 41,q 2-
FAX:
VA-X:
ZIP:
ARCHITECT/ENGINEER INFORMATION:
NAME: Ae6g I Y-ec T-v.V1 I c
ADDRESS: RD(Ia Ave -
CITY: r-r.P,4,.C-p STATE: ZIP: 3gisy
PHONE (DAYTIME): l 7 2 - (f (, o - 1 S / FAX:
SLCCC: 9123109
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Revised 0616/30/1/17 'i�
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