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DATE FILED: k "tq PERMIT# i 1--— O 3 0 19
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PLANNING & DEVELOPMENT SERVICES
BUILDING&CODE REGULATION DIVISION
RECEIVED 2300 VIRGINIA AVENUE
JAN 0 3 FORT PIERCE, FL 34982-5652
2019 (772)462-1553
Permitting DeportmentAPPLICATION FOR BUILDING PERMIT REVISIONS
Stt,. Lucie Countyqunty
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
114 SE CAMINO STREET,PORT ST LUCIE,FL 34952
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
f eaSL- E SCOPE OF WORK.ITEM#1 WILL NOT BE REPLACED.
ITEMS#14 AND 15 WILL BE CHANGED FROM SINGLE HUNG WINDOWS TO 1 PNL HORIZONTAL SLIDERS
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC061641 ST. LUCIE CO CERT. #: 30785
BUSINESS NAME: THE HOME DEPOT
QUALIFIERS NAME: WAYNE FRANCIS
ADDRESS: 2455 PACES FERRY RAOD C-11
CITY: ATLANTA STATE: GA ZIP: 30339
PHONE(DAYTIME): 407=469-5599 FAX: 407-469-3499
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME: FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): FAX:
SLCCC: 9/23/09
Revised 06/30/17