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HomeMy WebLinkAboutRevisions OFFICE USE ONLY: I DATE FILED: `1 1 I a d PERMIT# S ,j C REVISION FEE: RECEIPT# PLANNING &DEVELOPMENT SERVICES RECEIVED BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE NOV I a 1010 FORT PIERCE,FL 34982-5652 (772)462-1553 Permitting Departm«- st, Lucie Count, APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION LOCATION/SITE ADDRESS: o`I © 1 S ©CelAP ®\". qto DETAILED DESCRIPTION OF PROJECT REVISIONS: `. v�b j u .ass.. f .1 nLO d.o f X g�O'�-'4 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: ADDRESS: 3a3 CITY: •A)pN Q,t�,tr, STATE: r'- ZIP: 33`tea-5 PHONE(DAYTIME: 6 fir;,_ /a FAX: T� ARCHITECT/ENGINEER INFORMATION: . NAME: ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME): FAX: SLCCC: 9123109 Revised 06130117 �. .a o "D y a ''y 70 �-rta •r Z s9 � ���' s i Q D t7 6 'a 19a y Lp ALI. 2.. +7 � .� � ,D ''a � o � fir 15 A �RG� o � o p oar a a it =A av o.�, _�1� pF,a p� o p O Vn�Ls f �-6," j� d A� �7 w •. �N 4^ 17. 0' 4 Q -,— ro, .� s •d a a l� i • } A � /� 'a � e { FILE I } 7 I RECEIVED 3 ' y NOV 18 2070 1 Permitting Department St,Lucie County fi � X4x