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PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT REVISIO
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
`�1G SSG
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: O-ra fe,?O ST. LUCIE CO
BUSINESS NAME: CO�✓_P Olga o��i /34TLAdi✓B �da/�
QUALIFIERS NAME: fI A v✓
ADDRESS: ,S -ej
CITY: f 4,r-:S'Ofi ip STATE: G ZIP: _
PHONE (DAYTIME): 7 7 z-/ d= 3 6 9 0 FAX:
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
alLE
PERMIT Y 1�
RECEIPT # I03Q)ra f
FEB 112020
Lucie County, Permitting
CITY: STATE: ZIP:
PHONE (DAYTIME: FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME; (WAh O1 iv d ,Q WAS _-
ADDRESS: ^Ll /7 CAGB.✓�0` ��
CITY; _ STATE: —
PHONE (DAYTIME):
SLCCC; 9123109
REVISIC
Revised 0616/3011/17
ZIP: 9 9G
FAX: r