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DATE FILED:
REVISION FEE:
PERMIT # _
RECEIPT #
PLANNING &DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772) 462m1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS: 5101
p Vl Foi- Pi ma, i FL 3qq 49
DETAILED DESCRIPTION OF PROJECT
REVISIONS: t� p_ �]
5 6. A C� �.P Gi 6 COX
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: C �` _ � S 2 S �j3 ip ST. LUCIE CO CERT. #:
BUSINESS NAME: Dan 16 p ('ris" , 'oo t U (a
QUALIFIERS NAME: k p b p',(b
-j�- (- , u IZ
ADDRESS: oid Dwi
CITY: STATE: GL ZIP: ;3'29hb
PHONE(DAYTIME):772-5&7--)Soo FAX:
OWNERBUILDER INFORMATION:
NAME:
CITY:
PHONE (DAYTIME:
S
ARCHITECT/ENGINEERINFQRMATION:
NAME: J
ADDRESS: 15 5 S
CITY: Ve.rD 3424c
PHONE (DAYTIME):
SLCCC: 9/23/09
Revised 06/30/l7
TE: �L ZIP:
FAX:
STATE: �'c,
FAX: