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Home My WebLink AboutRevisions OFFICE USE ONLY: n DATE FILED: PERMIT# X/off 1 REVISION FEE: 7Y.00 RECEIPT# PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION LOCATION/SITE ADDRESS: 4,, DETAILED DESCRIPTION OF PROJECT REVISIONS: - - }1�lGpeQSC' CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: G -/�"/S % ,-,Z ST.LUCIE CO CERT. #: BUSINESS NAME: �y�i'i�4� Alelse-14 e:�ay/s j• l Lim. QUALIFIERS NAME: ADDRESS: CITY: A- erg e STATE: ZIP: 3 y9y z PHONE(DAYTIME): 130 F FAX: OWNER/BUILDER INFORMATION: NAME: ��ey ADDRESS: 10, CITY: STATE: ZIP: PHONE(DAYTIME: FAX: ARCHITECT/ENGINEER INFORMATION: i NAME: zxA ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME): FAX: SLCCC: 9/23/09lu Ek Revised 06/30/17 Rr.