HomeMy WebLinkAboutRevisions OFFICE USE ONLY:
DATE FILED; PERMIT#
REVISION FEE: RECEIPT#
i
PLANNING & DEVELOPMENT SERVICES
a BUILDING&CODE REGULATION DIVISION
A 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 FAX(772)462-1578
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
i. LOCATION/SAM E Coconut Ave. Port Saint Lucie,FL 34957
ADDRESS:
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Revise permit SLC- 1606-0475 to add a front door(FL4904.6) and sidelite(FL 12509.1).
3. CONTRACTOR INFORMATION:
STATE of FL REG./CERT.#: CRC046858 Sz.LURE COUNTY CERT.#: 24548
BUSINESS NAME: At Home ervlces
QUALIFIERS NA� oysle am is
ADDRESS: 674�S Military TrNil
CITY: Dee-f1e each STATE: ZIP: 33442
PHONE(DAYTIME): 469 - 5599 Ext 12 FAX:
4. OWNER/BUILDER INFORMATION:
NAME: Susan Landrith
ADDRESS: 409 E Coconut Ave. -
CTTY: rOrL 3UIRL 1,UUlVSTATE: FL ZIP: 34957
PHONE: FAX:
5. ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): FAX:
Revised 07/22/2014