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DATE FILED: '9•' I l' W PERMIT# ��
REVISION FEE: RECEIPT#
PLANNING &DEVELOPMENT SERVICES
BUILDING&CODE REGULATION DIVISION RECEIVED
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652 FEB 1
(772)462-1553 1 2020
APPLICATION FOR BUILDING PERMIT REVISIONS ST' Lucie County, permitting
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
3200 Maravilla Blvd,Fort Pierce,FI.34982
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Moving from whole house to one room(Front Guess Bedroom)
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: NSA ST. LUCIE CO CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): FAX:
OWNER/BUILDER INFORMATION:
NAME: Kassandra Rabinovitz
ADDRESS:3200 Maravilla blvd
CITY: Fort Pierce STATE: FI ZIP: 34982
PHONE(DAYTIME: 7725790438 FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME: N/A
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME): FAX:
SLCCC: 9123109
Revised 06130117