HomeMy WebLinkAboutPROJECT INFORMATION5r WGC 'i-�= + 10A109c
OFFICE USE ONLY:
DATE FILED:
REVISION FEE:
PERMIT # O t (oi
RECEIPT #
SCANNED
PLANNING & DEVELOPMENT SERVICES BY
BUILDING & CODE REGULATION DIVISION St. Lucie Counh,
ST. a'cTr ro '-rV RT.Tf n�+ iSION 2300 VIRGINIA AVENUE
REWFR ED FOR CO,�IPL FORT PIERCE, FL 34982-5652 y
xEL'tE�VED BY' (772) 462.1553
DATE ',spe&y9J27O e
PL.� NS A\' 1IT MU T BE KEPT ON JOB APPLICATION FOR BUILDING PERMIT REVISIONS �C/,. �B
OR NO INSPECTION WILL BE MADE. PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
?30-t i nl andcy 1-y-y are 1-4Picrce PC.
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
C lang inC1 T�,�y I I! I�S� ern +q re N
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CCC I QSSS (D D ST. LUCIE CO CERT. #:
BUSINBcR MAW.-
QUALII
ADDRE
CITY:
PHONE
OWNER/BUILDER INFORMATION:
NAME:
CITY:-fT. V(CI'r-P_
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME: _
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
FAX:
I
VAI9
ZIP:
SLCCC /;
9 am a ` �..n is is
Revised l� l