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HomeMy WebLinkAboutRevisions OFFICE USE ONLY: } DATE FILED:_ \T1 1`� PERMIT# �� 3a. REVISION FEE: RECEIPT# PLANNING & DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 APPLICATION FOR BUILDING PERMIT DEFERRAL PROJECT INFORMATION LOCATION/SITE ADDRESS: r y- -,� �� 3��6 ��� �l M 1� r �� f-c?!' �/ DETAILED DESCRIPTION OF PROJECT REVISIONS: old wood q Itil c zp- CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: ST. LUCIE CO CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): FAX: OWNER/BUILDER INFORMATION: NAME: Lkao/i 4hJ(-('A !; ADDRESS: In 2-6 ` .,� ; ` CITY: -In-+, f ,e-rce— STATE: ZIP: PHONE (DAYTIME: FAX: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): FAX: SLCCC: 9/23/09 1K 0 S 0 Revised 06/30/17 RECEIVED JUL 2 4 2018 ST. Lucie County, Permitting O lVols