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DATE FILED: IO �lo
REVISION FEE:
LOCATION/SITE
PERMIT #
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34962.5652 Fn
W
(772)462.1553
APPLICATION FOR BUILDING PERMIT
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME: lt�>Y
QUALIFIERS NAME, KA
OWNER/BUILDER INFORMATION:
JUN 2 G '0
Permitting Departlnent
St. Lucie County, FL
ST. LUCIE CO CERT. #:
an
ZIP:
FAX:.
CITY: STATE: I -IF:
PHONE (DAYTIME: - - FAX:
ARCIIITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
FAX:
ZIP:
FILE COPY
SLCCC: 9123109
Revised 06130117 '
REVISION