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Ti 1 ILED: PERMIT#
REVISION FEE: RECEIPT#
PLANNING& DEVELOPMENT SERVICES
ILDING&CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
1S-
FORT PIERCE,FL 34982-5652
(772)462-1553
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APPLICATION FOR BUILDING PERMIT REVISIONS
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PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
9605 ORANGE AVENUE, FORT PIERCE, FL
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DETAILED DESCRIPTION OF PROJECT
REVISIONS:
REVISE AND UPDATE SURVEY AS REQUESTED
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CONTRACTOR INFORMATION:
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STATE of FL REG./CERT. #. CGC 1507158 ST. LUCIE CO CERT. #: 22082
BUSINESS NAME: HERITAGE CONTRACTING SERVICES, INC.
QUALIFIERS NAME: PAUL KUHN
ADDRESS: 3690 N US HWY 1
CITY: FORT PIERCE STATE: FL ZIP: 34946
PHONE(DAYTIME): 7722166612 FAX: N/A
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE(DAYTIME: FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): FAX:
SLCCC.• 9123109
Revised 06130117
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