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ST. LUCIE COUNTY - FORT PIERCE
FIRE PREVENTION BUREAU
A. Permit Information:
OCCUPANCY dZ&4&4
Location (PhAt nlo. 0 5
No. Street
Permit No. 96 0 9 o Z oj!�,,
City Bay or suite No.
Contractor Name: A!L4 (, hone No.(3s& )-373- M b
Architect / Engineer: ffifc Phone
Building Owner: Sc-(!)t� St.Tenant Name: at�,I&a4,e-
New: Shell:,_Tenant Improvement: Renovation:
B. Building Information:
Occupancy Type: uaa Construction Type:
Gross Sq feet.: Zr, (a i Net Sq ft. (S.B.c.c.l)
Number -of Stories: Automatic Sprinkler N
C. Comments or Assumptions:
The above information is required to-do a complete plan exam by the Fire Prevention Bureau
For the Building Department: Date: