HomeMy WebLinkAboutREVISIONOFFICE USE ONLY:
DATE FILED: I - I `-1 . ZC]
REVISION FEE:
PERMIT #
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE RECEIVED
SCANNED FORT PIERCE, FL 34982-5652
BY (772) 462-1553 JAN 15 2020
St. Lucie County
APPLICATION FOR BUILDING PERMIT REVISIONS sT. Lucie County, Permitting
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
l�a� -tips' S Nd,e k6l Aa.
DETAILED DESCRIPTION OF PROJECT
REVISIONS: `
27a to make- Alo A -/k WA.Z. Al -IkIAG
-0,9.c. Qeh 12= K 3 9b 4Lz .
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME: �t
QUALIFIERS NAME -
CITY:
PHONE
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
ST. LUCIE CO CERT. #:
,QL ZIP:
FAX:
STATE:
ARCIIITECT/ENGINEER INFORMATION:
NAME: _
ADDRESS:
FAX:
r
File C"
Opy
CITY: STATE:
PHONE (DAYTIME): FAX:
"SLCCC: 9123109
Revised 06130/17
ZIP: