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DATE FILED: Irl PERMIT# k7jE)FV r �0
REVISION FEE: RECEIPT# 1�:6 -(o�'K
ST LU CIE-1-1,.� RECEIVED
M , PLANNING& DEVELOPMENT SERVICES
BUILDING&CODE REGULATION DIVISION COUNTY
2300 VIRGIlYIA AVENUE OCT 2 7 2017
FORT PIERCE,FL 349825652
(772)462-1553 FAX(772)462-1578 PER?BITTING
St. Lucie County, FL
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
1. LOCATION/SITES l G 11
Ile-
ADDRESS: IZ
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. OWNEWBUILDER INFORMATION:
NAME:
ADDRESS: L
CITY: Fdr4 P' r'ri C STATE: ZIP:
PHONE: '772 S.?41 -24,25 FAX:
5. ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): FAX:
Revised 07%22/2014
RF\/ISION
MAY 16 2017
PERMITTING
St. Lucie County, EL
C
' Appl;cant has been advised NO structures
can be erected within any easement or
nght of way unless otherwise approved.
Applicant Initials-t
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RECEIVED
6L 10
OCT 2 7 2017 REVISIu" ' N