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REVISION FEE:
PERMIT # iDD3 - 0 211 q
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34962.5652
(772)462.1553 JUL
18 2020
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION County, Permitting
LOCATION/SITE �\ (1 ADDRESS:��ZZ T\aCe I -a l)c \ \yCK \ Qt1`\-\ �t-
DETAILED DESCRIPTION OF PROJECT
CONTRACTOR INFORMATION:
STATE of FL REG./CRT. #:
BUSINESS NAME: ,
QUALIFIERS NAME: UW
CITY: §
PHONE
OWNER/BUILDER INFORMATION: .
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CITY: Fk V %e r
PHONE (DAYTIME:
Z S ' ST. LUCIE CO CERT. #:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
CITY: QQIZ�
PHONE(DA
STATE:
FAX:
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FAX:
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SLCCC: 9123109
Revised 06/30/17
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