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DATE FILED: 6
REVISION FEE: e,5, Cz
PERMIT NUMBER: C
RECEIPT NO.:
42m
ST.LUCIE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
561-462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
1. LOCATION/SITE 2
ADDRESS: do ( . J SZ d
2. DETAILED DE CRIPTIONS, QF PROJECT O1
REVISIONS: �'OIGtui koifr
3. CONTRACTOR INFORMMATION:
ST. OF FL REG./CERT#
BUSINESS NANIE:
Qualifiers Name: (J
ADDRESS:
CITY:
PHONE (DAYTIME): »
4. ARCHIT/ENGINEER:
NAtiIE:
ADDRESS:
CITY:
PHONE (DAYTIME):
ST. LUCIE COUNTY CERTX JU ZZ
STATE:
FAX #
STATE:
FAX#
ZIP•
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