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Home My WebLink AboutOFFICE USE ONLYOFFICE USE ONLY: DATE FILED: REVISION FEE: LOCATION/SITE ADDRESS: PERMIT # 20062 - C)ql 5 RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982.5652 (772) 462.1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION DETAILED DESCRIPTION OF PROJECT CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIME): STATE: OWNERBUILDER INFORMATION: NAME: ST. LUCIE CO CERT. #: FAX: ADDRESS: L/-STATE: �� CITY: tea- P� � Q PHONE (DAYTIME: 2- 323- 7 S FAX: _ ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: STATE: CITY: FAX: PHONE (DAYTIME): SLCCC.- 9123109 Revised 06/30/17 ZIP: ZIP: UWE BA C< M