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Home My WebLink AboutRevisions; Providing Correct Slab SpecsW" k-r L OFFICE USE ONLY: Q DATE FILED: lQ —) REVISION FEE: s©i(� PERMIT # RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION JAN 0 6 2019 2300.VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 1, Lucie County, Permitting (772) 462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION LOCATION/SITE ADDRESS: 2325 Jernigan Road Fort Pierce Florida 34945 DETAILED DESCRIPTION OF PROJECT REVISIONS: Providing correct slab specs CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: EC13006279 BUSINESS NAME: Energized Electric QUALIFIERS NAME: Mike Flaxman ADDRESS: 4252 Bandy Blvd CITY: Fort Pierce STATE: Florida PHONE (DAYTIME): 772-466-1095 OWNER/BUILDER INFORMATION: NAME: Layton Durrcance ADDRESS: 2325 Jernigan Road CITY: Fort Pierce PHONE (DAYTIME: STATE: FI ARCIHTECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130/17 STATE: ST. LUCIE CO CERT. #: ZIP: 34981 FAX: 772-318-6672 p v:lftm ZIP: 34945 ZIP: