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Home My WebLink AboutRevisions OFFICE USE ONLY: DATE FILED: le'l PERMIT# REVISION FEE: 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/SIT ADDRESS: n ,�— DETAILED DESCRIPTION OF PROJECT REAgy-c-W SIGNS: FRp 11 Z' W L K l7 6 ck) S 6A A1-6ljJ A-:,2— CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: ST.LUCIE CO CERT.#: BUSINESS NAME: /S g' Fz�&- /IAez c9 1p, QUALIFIERS NAME: ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME): FAX: OWNERIBUILDER 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 06/30/17R"' EVIolON