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DATE FILED:
REVISION FEE:
PERMIT# 2009-0119
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2399 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS: 4000 Avenue J Fort Pierce FL
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: Ci Ci Ci#1 3325529 ST. LUCIE CO CERT. #:
BUSINESS NAME: (;I G Rnnfinn I I r
QUALIFIERS NAME: Vlnroy Vassell
ADDRESS: 1210 Evanston St _
CITY:Se
STATE: L
PHONE (DAYTIME): 172-201-1229 FAX:
OWNER/BUILDER INFORMATION:
NAME: Robert
CITY:
PHONE (DAYTIME:
INFORMATION:
ZIP:
IE: ZIP:
FAX:
NAME: 4000 Avenue J
ADDRESS:
CITY: Fort merce STATE: F L ZIP: 34947
PHONE (DAYTIME): FAX
SLCCC: 9123109
Revised 06130117