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DATE FILED: L\\16k\ PERMIT#'
REVISION FEE: RECEIl'T#
/
PLANNING& DEVELOPMENT SERVICES
BUILDING&CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
° 1 FORT PIERCE,FL 34982-5652
(772)462-1553 FAX(772)462-1578
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
1. LOCATION/SITE
ADDRESS: J 1 _ �� (� , �-✓o I
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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3. . CONTRACTOR INFORMATION:
STATE of FL REG./CERT.#: ST.LUCIE COUNTY CERT.#:
BUSINESS NAME: C !1 r ,r-
QUALIFIERS NAME: Ar-\-c
ADDRESS: �►a ,' L 'i
CITY: �erl e STATE: ZIP: ZZ9-6—
PHONE(DAYTEVIE): — FAX:
4.' OWNER/BUILDERINFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX:
5. ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: i STATE: ZIP:
PHONE(DAYTIME): FAX:
Revised 07/22/2014
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01 l I HEREBY CERTIFY THAT 1�AT ACHED OU DARY SURVE OF E HEREON ESCRI ED
•(1 �1RY�y Tiy�:{ rT��S��� PROPERTY IS TRUE AND CORREC TO THE BEST OF MY KNOWLEDGE AND BELIEF AS SURVEYED
] LTN ' iPLL 4CE UNDER MY DIRECTION ON DECEMBER 23, 2015. 1 FURTHER CERTIFY THAT THIS BOUNDARY
�' SURVEY MEETS THE STANDARDS OF PRACTICE SET FORTH IN CHAPTER 5J-17 ADOPTED BY THE
FLORIDA BOARD OF PROF SIONAL SURVEYORS AND MAPPERS, PURSUANT TO FLORIDA STATUTES
472.027.
D P RINTFT MUST BE KEPT i)N Jr.,
_Pr!-T_f-%�i 4 �L BE 4-t'.
DAVID rAFY, P.L.S.
REG. LAND SURVEYOR #5005
STATE OF FLORIDA •- LB 3591
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