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OFFICE USE ONLY: DATE FILED: a a\ REVISION FEE: PERMIT # RECEIPT # SLc job-xD17y PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982.5652 (772)462.1553 APPLICATION FOR BUILDIV6 MRMIT E PIONS PROJECT INFORM I ql I LOCATION/SITE ADDRESS: 57/% &&4W& h12 T -t:r Pl mur- FL 9V9,9Z Da Init 2 20 DETAILED DESCRIPTION OF PROJECT twpluv REVISIONS: CONTRACTOR INFORMATION: t Q l I �tIT— jIC s -'`�� STATE of FL REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIME): STATE: OWNER/BUILDER INFORMATION: NAME: ST. LUCIE CO CERT. #: FAX: CITY: nar 1t1.--g,�: STATE: M PHONE (DAYTIME: 7y2 - 370 - SS6z FAX: ARCHITECT/ENGINEER INFORMATION: NAME: _ I ADDRESS: CITY: STATE: PHONE (DAYTIME): FAX: ZIP: SLCCC 0, Revised l6I REVISION ZIP: ZIP: e Y .. ... x.-• ..jai. �. Yid- I �. .. .. 13 .�_.i �—..�2 `r 3t`T n_ -c_ +♦r. �_ . , : _.. 30,0' OUND 112" NJO° 0 ' 00'W" 300 001 OGNti 1 2" IRON ROD' FENCE IRON IOb { Y 12 N: . . ou J GCN�L-� ar LOT 14 I { BLOCK 9 m �9 �LOCIZ 8 10' 1ti10' T • - has bee, r F Y iC_ { �� oe,�a�I dNos j eseT ec(� eci With,an �0 S.W:CORNER'��' l,l { { °9f>toE�v Xenigr '.. OFLDT1A.' EVIEVIIED ..OR<'; 5FOR, BLOCK I I -CODE COMPLIp►N�E 'i ALLA1rlOLES:RN11°I5�At�CE&SNQKJt :.: D AfEA u�. U S i3C I COD `T`° god t��ec�fth AN s Ecs NEE T T L�ci�.coul� v 5&OiL:URPORATEWAY,SGlTE103 C CCIAJITED r .:ASBocc PrL4L 'ifiElY1FRI1 TNISSUIiYiS@10i`1+A1{Q ' , i FHE 5(G[dATi3 0� AND, jtT V`JCS'f rALM BEACH, FL 33407 Bo. RY SURV Ej L . !COAL CONCflEIE :;.t��TCif695IN .:;- ER: ;ofN '.AsJ URrD4 5 :i� 3uCHANAN DRivE . - P a i�o:�aon , PHONE: 3 SAIiVT l:IJCIE G UiVTY :F �4`3�2 vna ivRrrRl�Frrt:' UIiCgYf' � 61.d09.6272. y..; ' �.. €�'���i4t�9Caa I.��, SAX: 5Q1 608;8308 - - „1'� .TOFbt�W1FFI�GE'tL'UAi► '(ERVN.VG f: .`-,F'F'�"..M^rR�•+r �v?sH+.+ew..-♦♦..•'__uw.e..v..xQ.--♦'•:c�♦.o...-%wn+w.wa:♦vz....�. �' _ -i� iI ♦t 1 � <x�c� t' . ��]WMF0.+AwrrC♦a.-`•� .: 2�•�.. - � 1 ,.4f