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HomeMy WebLinkAboutDeferral Project Info-Truss repair, plans in folder (large) I� OFFICE USE ONLY: (( Q DATE FILED: 9 . l Y PERMIT# \SO 3 0 REVISION FEE: A 15 c RECEIPT# 111-33L-1'1 RECEIVED PLANNING & DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE SEP 19 2018 FORT PIERCE, FL 34982-5652 ST. t,ucIu CQUAO, €'@rm!tttIne (772)462-1553 . APPLICATION FOR BUILDING PERMIT DEFERRAL PROJECT INFORMATION LOCATION/SITE ADDRESS: OWL( /bel. �ck c � Pqe, cce,) ,_ _sU9 ca DETAILED DESCRIPTION OF PROJECT REVISIONS: „ �. �cU-S5 G`,c `�k�.,\S co( . \ c,sc. , G . -. , - ,, - --- - , CONTRACTOR INFORMATION: r _a : . 1 . �• " 't — 's STATE of FL REG./CERT. #: ST. LUCIE CO CERT. #: 30134 BUSINESS NAME: FI,z�� Qekco +k QUALIFIERS NAME: ZSaftvo 5 `t5 ADDRESS: a`t554.1O ,?;.z\'. c ( (c1\I.n &-`) CITY: (? (x I STATE: ZIP: 39O_S PHONE (DAYTIME): 32/ 5-3 ,T <3<?3' FAX: OWNER/BUILDER INFORMATION: NAME: i 6 \ , cc\ ADDRESS: au \U Q Or CITY: FV 2; G STATE: ZIP: ji,C2 PHONE (DAYTIME: FAX: ARCHITECT/ENGINEER INFORMATION: NAME: i i ADDRESS: 'I. CITY: ! STATE: ZIP: PHONE (DAYTIME): FAX: 11 SLCCC: 9/23/09 Revised 07/17/18 ti' • •