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DATE FILED: G I yq� `� O
REVISION FEE: —L1.1:1
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LOCATION'REALTA LOMA
ADDRESS: 11
PERMIT # 2005-0197
RECEIPT #
PLANNING & DEVELOPMENT SERVI ES JUN 2 9 2020
BUILDING & CODE REGULATION DIVISI N
2300 VIRGINIA AVENUE ST. Lucie County, Pern
FORT PIERCE, FL 34982-5052
(772)462-1553 �'.A.X�(79Y)A42•D49:S
APPLICATION FOR BUILDING PERNII'f REVISIONS
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT L t .
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: DIH/1016128 ST_LUCIE COUNTY CERT. #:
BUSINESS NAME: entt l orporation
QUALIFIERS NAB Eric Wynne
ADDRESS: bVb South U6 17iwy. I Nuite
CITY, -PoN St. Lucie STATE:
PHONE (DAYTIME): FAX:
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE:
Wynne Building Corporation
ARCHITECT/ENGINEER INFORMATION:
NAME: Steve Woods
ADDRESS:
CITY:
PHONE (DAYTIME): (772) 618-5644
Revised,07/22/2OJ4
5'I'ATE:
STATE:
31132
ZIP:
772 87 -7 M
FAX:
FAX:
ZIP:
ZIP: