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OFFICE USE ONL Y:
DATE FILED:
REST AMP FEE:
COpy FEE: Ô·O
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PERMIT ~~,o~~, 7'Â Y
RECEIPT NO.: 7,
ST. LUCIE COUNTY
CODE COMPLIANCE DEPARTMENT
PERMITTING & ZONING
2300 VIRGINIA A VENUE
FORT PIERCE, FL 34982-5652
561-462-1553
APPLICATION FOR RESTAMP OF PLANS &
PROJECT INFORMATION
1.
JOB LOCA TION/SITE
ADDRESS:
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2.
PERSON REQUESTING RESXAMP/COro-ES:
NAME: ('11 ~'I~-\)(1; f~' Vf ~ m' ~ 'V~b\f\dJ YS ~
CONTACT PHONE NUMBER: <=;l{J ,... ~5:J.-qf511
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3.
CONTRA CTOR INFOR.MA TION:
ST. OF FL REG./CERT# ST. LUCIE COUNTY CERT.#
BUSINESS NAME: i5 h ~y" ~fYV \XF
Qualifiers Name: ~DA-\l'S J~~
ADDRESS: ~ 1'=54LR , N -¥Y1 C1'-
CITY: ~Ö' ~ = STATE: ft..
PHONE (DA YTIIHE):: # 3~ .':t1o-f FAX #
DESCRIPTION OF REQUEST: C D~
2,Lj 33
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ZIP: -a3t-f l ~
4.
THERE IS A $50.00 BASE FEE FOR REST AMP OF PLANS. CUSTOMERS
REQUESTING INFORMA TION WHICH REQUIRES RESEARCH WILL BE
CHARGED $20.00 PER HOUR. THERE WILL BE AN ADDITIONAL FEE
FOR ALL COPIES MADE.