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HomeMy WebLinkAboutWurtenberg Revision Form (2)OFFICE USE ONLY: DATE FILED: REVISION FEE: PERMIT # 2007-0711 RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION LOCATION/SITE ADDRESS: 6603 S Indian River Dr Ft. Pierce FL 34982 DETAILED DESCRIPTION OF PROJECT REVISIONS: revised size and layout of building CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CBC1251995 BUSINESS NAME: Carports Anywhere QUALIFIERS NAME: James Player ADDRESS: PO Box 776 CITY: Starke STATE: fl PHONE (DAYTIME): 3524681116 OWNERBUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME: STATE: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130/17 STATE: ST. LUCIE CO CERT. #: ZIP: 32091 FAX: 3524681113 i ZIP: ZIP: