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Home My WebLink AboutRevisionsOFFICE USE ONLY: DATE FILED: J — ( 2 REVISION FEE: LOCATION/SITE ' PERMIT# 2004- 0<� zz RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISIONFSTLuMcie _ IIVEp 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982.5652 AY 14 2020 (772)462.1553 APPLICATION FOR BUILDING PERMIT REVISION County, Permitting PROJECT INFORMATION DETAILED DESCRIPTION OF PROJECT CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: STATE: PHONE (DAYTIME): OWNER/BUILDER INFORMATION: NAME: CITY: 5 L STATE: PHONE (DAYTIME: 1, S�D 2 0 U �'5p ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): STATE: SLCCC 0, Revised 06130117 _,.. ST. LUCIE CO CERT. #: FAX: FAX: rax: ZIP: ZIP: ZIP: