HomeMy WebLinkAboutRevision May. 1, 2019 11 : 11AM No. 0674 P. 1
OFFICE USE ONLY:
DATE RMED: pE1tMIT# ® CQ
REVISION FEE: RECEIPx#
PLANNING &DEVELOPMINT SERVICES RECEIVED
BUILDING&CODE RE,GUIATION DIVISION MAY 01 2019
2300 VIRGINIA AVENUE
FORT P1ERCL,FL 34982-5652 �• Lucie County, Permitting
(772)462.1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
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DETAILED DESCRIPTION OF PROJECT
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"VISIONS:
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CONTRACTOR INFORMATION:
STATE of PL REG./CERT. #: Ci MC0 ST.LUCIE CO CERT.#: p
BUSINESS NAME: SOS. CCTccS, A
QUALIPIERS NAME: G ;f o er pa .Q
ADDRESS, -310 5,
CITY: , �!'c STATE: zrp: Z
PHONE(DAYTIME): PAX., —77Z-
O'VVNIEIt/BMDER INFORMATION:
NAA :
ADDRESS.
CITY: STATE: ZIP:
PRONE(DAYTIME: PAX:
ARCHITECTIENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): PAX:
SLCCC. 9/23/09
Revised 06/. 0/X7 REVIS101 I m