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- ..-- DATE FILED_A\ I) - - ---- --- -..-._. ._PERMIT# 13 -
REVISION FEE: RECEIPT#10AC,
PLANNING&DEVELOPMENT SERVICES
COUNTY BUILDING&CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
1. LOCATION/SITE q�,
ADDRESS: i'�� � I
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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3. CONTRACTOR INFORMATION:
STATE of FL REG./CERT.#: ST.LUCIE COUNTY CERT.#.
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): FAX:
4. OWNERBUILDER INFORMATION:
NAME: lr�/lam J claw
ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX:
5. ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): FAX:
SLCCC:9/23/09
Revised 04/26/2010
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.r, AUG 3 1 2017
BY: 3x1ro` 15QA
ST.LUCIE COUNTY -1 PVC
BUILDING DIVISION
REVIEWED
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REVIEWED;
DATE_ L
PLANS AND PERMIT WAFER
MUST BE KEPT ON-JOB OR
NO INSPECTION WILL BE MADE #4
110- Banyan Dr ALISSA LANMUA
PortSt Lucie, FL 34952 ®r
* EXPfRESMY :November 3,017
;� AendaelTrru Dadgefttary Services
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