HomeMy WebLinkAboutPROJECT INFORMATIONOFFICE USE ONLY:
DATE FILED:
PERMIT # 1902-0021
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
�.' FORT PIERCE, FL 34982-5652
(772) 462.1553
APPLICATION FOR BUILDING PERMIT REVISIONS
C7 PROJECT INFORMATION
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LOCATION/SITE
ADDRESS
y,9800lS-Ocean Or �Jen"sen Beach ;FL,3,-95�(Correct address),.,
(9800 S Ocean Dr. Unit# 407, Jensen Beach FL 34957 (Incorrect address)
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
I pulled the permit under the wrong address and pargel ID. I originally did it under Unit# 407 but it is not that unit it is just the
boiler room in the coodoFmNum'4(She correct oarceilip7is74502 504d)000'000'-Fl)'&2=
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: ST. LUCIE CO CERT. #: 19363
BUSINESS NAME: The Glass Professionals
QUALIFIERS NAME: David LaPrade
ADDRESS: 3570 SE Dbde Hwy
CITY: Stuart STATE: FL ZIP: 34997
PHONE (DAYTIME): 772-286-0459 f,ADe: 77z-2e6-0461
OWNER/BUILDER INFORMATION:
NAME: Island Beach Club Condominium
CITY: Jensen Beach STATE: FL
PHONE (DAYTIME: (772) 229-9317
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
FAX:
ZIP: 34957
CITY: STATE: ZIP:
PHONE (DAYTIME): FAX:
DA'X'o UR Cod 6}
SLCCC: 9123109
Revised 06130/17