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HomeMy WebLinkAboutRevisions (4) JFFICE USE ONLY: DATE FILED: i q PERMIT# REVISION FEE: 1 2J • d RECEIPT# rJ 3 al PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 RECEIVED (772)462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS JUL '1 2019 PROJECT INFORMATION ST, 6uge-County, P@rmlging LOCATION/SITE ADDRESS: irc� DETAILED DESCRIPTION OF PROJECT REVISIONS: Una, LL 1 czJt t CONTRACTOR INFORMATION: STATE of FL REG./CERT.#: CGC lszgt-Sj ST. LUCIE CO CERT.#: BUSINESS NAME: -kAiQ (S AAr�S QUALIFIERS NAME: ADDRESS: [qQ5 sw e'Ag g J� CITY: 9,r�E 54-1 jvcf t c-,z STATE: P7 f, ZIP: 3y U- PHONE(DAYTIME): S? 32g$ FAX: OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME: FAX: ARCHITECT/ENGINEER INFORMATION: aa f NAME: I �, ADDRESS: w CITY: STATE: i' I ' � z �, ? i:: r; PHONE (DAYTIME): FAX SLCCC: 9123109 Revised 0613OR7 REVISION --Py FILE