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DATE FILED: _ -7/ ' ��• � g PERMIT# )REVISION FEE: / � �p-�RECEIPT# I��/ O /
-_ PLANNING.-&=DEVELOPMENT-SERVICES
_ -BUILD_ING&CODE-REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION JAN 18 2018
LOCATION/SITE II
ADDRESS: 12 Al
a) WU 14--f Fsw (241
1 �Q9a
DETAILED DESCRIPTION OF PROJECT
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CONTRACTOR INFORMATION:
STATE of FL RE T. #:�52Co(1ebbj� ST. LUCIE CO CERT. #:
BUSINESS NAME: ME 2 6 �1t
QUALIFIERS NAME:
ADDRESS: SSE
CITY: 44 STATE: ZIP: /
PHONE(DAYTIME): -q(q'`7 FAX: -8&3 - act3-a
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME: FAX:
ARCHITECT/ENGINEER INFORMATION: In4� '"� { k
NAME: RaaA �� 'E i r �I�.�. 44
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ADD S: , 2,4 i l
CITY: STATE: r Z11 N
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PHONE(DAYTIME): 'CM - 91-3 18o F c
-SLCCC: 9123109
Revised 06/30/17 File copy
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