HomeMy WebLinkAboutPROJECT INFORMATIONOFFICE USE ONLY:
DATE FILED:
REVISION FEE:
SCANNED
BY
St. Lucie County
LOCATION/SITE
PERMIT # ,SI C- I L2nl, _ O OZ 2—
RECEIPT # IM to Q'S 2
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION RECEIVED
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652 DEC 0 4 2018
(772) 462.1553
APPLICATION FOR BUILDING PEF
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
- -- - CTOR INFORMATION:
of FL REG./CERT. #:
BUSINESS NAME: 'D.L9 -s L'a
QUALIFIERS NAME: ' I L. . i
ADDRESS: S�%Z f ,C , �� �, per(
CITY: Al02jlC4x7t4 STATE:
PHONE (DAYTIME): Vo -1 Z!t 7 - 2.4 S '
OWNER/BUILDER INFORMATION:
NAME: 94
ADDRESS:
CITY:
PHONE (DA
ARCHITECT/ENGINEER INFORMATION:
NAME: F
ADDRESS:
CITY:
PHONE (D,
ST. Lucie County, Permitting
ST. LUCIE CO CERT. #:
J
_ ZIP: moo o s'
FAX: -7-7u — 9p.;p- 7
STATE: 'Z /,
FAX:
,SS & 0-'Z
SLCCC. 9723709 - --- I L f�� -
Revised 07117118