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DATE FILED: 12_ ' f PERMIT# (1l 115.
REVISION FEE: r RECEIPT# L 1-1
PLANNING&DEVELOPMENT SERVICES
BUILDING&CODE REGULATION DIVISION
2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE,FL 34982-5652
(772)462-1553 FEB 12 2019
APPLICATION FOR BUILDING PERMIT REVISIONS ST. Lucie County, Permitting
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
�3 0 3 to m cx r s �. F�, ��G� P/
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT.#: ST.LUCIE CO CERT.#:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): FAX: F
OWNER/BUILDER INFORMATION: , lF}-r;
NAME: M a N Th bm a-s
ADDRESS: 130 1 3 Ao./om a r s 7:
CITY: Ff: Be- STATE: f14 ZIP:
PHONE(DAYTIME: 7`] b,S, y�2 FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): FAX:
SLCCC.• 9/23/09 % 'Elslom 0
Revised 06/30/17 REV N
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