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HomeMy WebLinkAboutRevisions OFFICE USE ONLY: r1 /In DATE FILED: CDS cT^V PERNIIT# REVISION FEE: RECEIPT# PLANNING&DEVELOPMENT.SERVICES BUILDING&CODE REGULATION DIVISION 2340 VIRGINIA AVENUE ; �. FORT PIERCE,FL 34982.56 •'° . � . (772)462.1553 APPLICATION FOR BUILDING PERMI I PROJECT INFORMATION ' LOCATION/SITE Y ADDRESS: PAR l s 3 141AkcKi nml ) ow-,\C( 34q�Yq DETAILED DESCRIPTION OF PROJECT REVISIONS: r'� 1m �h r00 �(x�1 OV1 C x211 h rco&) &, O� CA M CONTRACTOR INFORMATION: STATE of FL REG./CERT.#: ST.LUCIE CO CERT.#: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME): FAX: OWNER/BUILDER INFORMATION: NAME: 1 1 QZC�\,l @ 7 RMSION ADDRESS: Uq_uq �J . 1:}� X2� \A 1S 3 CITY: STATE: �_ ZIP: 31�q�101 PHONE(DAYTIME:Clp( ���- q 1p y S- FAX: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME): utp FAX: REVDWWFOR SLccc: 9/23/09 CODE COMPLIANCE Revised 06/30/17 ST. LUCIE COUNTY FILE COPY BOCC s� i .::� __: .. ..N���`~ I ����:'.t... ;� i _ _ i <! daj�q.�sM ,�,.,,._ __ � ---- _ I