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HomeMy WebLinkAboutFernandez Revision P#2004-0107OFFICE USE ONLY: DATE FILED - REVISION FEE: 1. LOCATION/SITE ADDRESS: PERMIT # 2aaq`d1 07 RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 FAX (772) 462-1578 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION S(�(ol 131=rSt Lod L 2. DETAILED DESCRIPTION OF PROJECT REVISIONS: P60L 13 A-Dpl ljr. 1 5'fio" Apure-1 -To DEGv— `ra m Kz-� .Sv12e- 6$r(.`' X 2 7 ovmptc,z- , 3. CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: Q)( l l oyA i g ST. LUCIE COUNTY CERT. #: W 7 6, BUSINESS NAME: P!otocoz Scp-CEW Co. Toc. -Z QUALIFIERS NAME: M1CC!mot HgL t4EVJA4 �I ADDRESS. _ a q SW g t LjM o RE ST. CITY: Focr S-r. Low c STATE: �- ZIP: 3y 33911 PHONE (DAYTIME): 11I2 3r-t0 --uSR3 FAX: _ TO 3qQ- 6zc 4. OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE: STATE: FAX: ZIP: 5. ARCHITECTIENGINEER INFORMATION: NAME: Do WIXA + 5 o"G ADDRESS: 0 10oS9 CITY: Fl M A STATE: Ft. zIP: S3Gr7 PHONE (DAYTIME): _ Cg I3i �'Z 55 FAX: Revised 07/22/2014