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HomeMy WebLinkAboutRevisions; Project InformationOFFICE USE ONLY: DATE FILED: REVISION FEE: PERnaIT # 2 cc`- - CAVD010 RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDLVG & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION LOCATION/SITE //77 ADDRESS: ( U-Icc l._ c i- I +on 9cL � � I T � 1 M&"k=w DETAILED DESCRIPTION OF PROJECT REVISIONS: u CONTRACTOR INFORMATION: STATE of FL REGJCE . #: BUSINESS NAME: it�a WO QUALIFIERS N�NIE 1��t ADDRESS: CITY: V--bCr:k k'ue STATE: PHONE (DAYTIME): n -1,3 •3AC> -I � OWNER/BUILDER INFORMATION: NAME: ADDRESS FILE C®py ST. LUCIE CO CERT. #: FAX: CITY: _ _ STATE: EL, PHONE (DAYTIME: _ . FAX: ARCHITECT/ENGINEER INFORMATION: NAME: NA`Coa -b-i ADDRESS: Htn C)s(g( Lj-. CITY: _ STATE: FI - PHONE(DAYTIME)- T7Av. SI.CCC: 9123109 Revised 06/30/17 ZIP: _ ZIP: