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HomeMy WebLinkAboutREVISIONOFFICE USE ONLY: DATE FILED: REVISION FEE: / 5-- D 0 PERMIT # 0 O 3 0 �� RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION .. -2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462.1553 SCANNEDAPPLICATION FOR BUILDING PERMREVISION ST LUCIE COUNTY BY PROJECT INFORMATION LOCATION/SITE ADDRESS: 3100 ST. Lucie Blvd Fort Pierce, FL 34986 DETAILED DESCRIPTION OF PROJECT REVISIONS: OCCUPANCY CLASS CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CGC 1515114 ST. LUCIE CO CERT. #: BUSINESS NAME: Sunrise City Community Housing Development Organization, Inc. QUALIFIERS NAME: Roderick Waller ADDRESS: 130 S. Indian River DR. #202 CITY: Fort Pierce STATE: FL ZIP: 34950 PHONE (DAYTIME): 772-201-2850 OWNER/BUILDER INFORMATION: NAME: Northside Worship Center ADDRESS: 3100 ST. Lucie Blvd CITY: Fort Pierce PHONE (DAYTIME: 772-201-2850 FAX: 772-907-0420 STATE: FL ZIP: FAX: 772-907-0420 -_---�eRCHITECT/ENGINEER.INFORMATION:� 34968 NAME: Wayne Gandy ADDRESS: 115 E-Colonial DR. CITY: Orlando STATE: FL ZIP: 32846 PHONE (DAYTIME): 203-5144221 FAX: SLCCC: 9123109 Revised 06130117 RECEIVED DEC 2 6 2018 Permitting Department OFFICE USE ONLY: DATE FILED: Q-14^1" REVISION FEE: $75 RECEIVED DEC 14 2019 Permitting Department St. Lucie Count, LOCATION/SITE ADDRESS: PERMIT # I bV� �3gq RECEIPT # PLANNING & DEVELOPMENT BUILDING & CODE REGULATION 2300 VIRGINIA AVEI FORT PIERCE, FL 3496 (772) 462-1553 APPLICATION FOR BUILDING PROJECT INFORMATI! 3100 ST. Lucie Blvd Fort Pierce, FL 34980 DETAILED DESCRIPTION OF PROJECT REVISIONS: Door opening CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CGC 1515114 ST. LUCIE CO CERT. #: BUSINESS NAME: Sunrise City Community Housing Development Organization, Inc. QUALIFIERS NAME: Roderick Waller ADDRESS: 130 S. Indian River DR. #202 CITY: Fort Pierce STATE: FL ZIP: 34950 PHONE (DAYTIME): 772-201-2850 OWNER/BUILDER INFORMATION: FAX: 772-907-0420 NAME: Northside Worship Center - ADDRESS: 3100 ST. Lucie Blvd CITY: Fort Pierce STATE: FL ZIP: 34968 PHONE (DAYTIME: 772-201-2850 FAX. 772-907-0420 -- ws r4RCIIITEC /ENGINE R INFORMATION:— NAME: Wayne Gandy ADDRESS: 115E Colonial DR: CITY: PHONE (DAYTIME): 203-514-4221 SLCCC: 9123109 Revised 06130117 STATE: FAX: ZIP: 32846