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Home My WebLink AboutRevisions i OFFICE USE:ONLY: DATE FILED: ERMIT# REVISION FEE: 1ECEIPT# PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE,FLI 34982.5652 (772)462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORM A ION LOCATION/SITE ADDRESS: C4 DETAILED DESCRIPTION OF PROJECT REVISIONS: POT -8 CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: ST.LUCIE CO CERT. #: BUSINESS NAME: -C.L L QUALIFIERS NAME: e7,L,-z* 2- ADDRESS: &cU ->tgj�L4gj `r✓ CITY:�(DAYTIM�): t.Gcg' STATE: PL I ZIP: cr -/rPHO ;772 zz(i q1140 FAX: OWNER/BUILDER INFORMATION: NAME: ADDRESS: I CITY: STATE: ZIP: PHONE(DAYTIME: AX: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: I ZIP: PHONE(DAYTIME): FAX: SLCCC: 9/23/09 Revised 06/30/17 -" a _. � — , < < `- ! i I cr � i,.�. i i 7 x �F �� y� 1'r 't 2'�'