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HomeMy WebLinkAboutRevisions; Change Windows to CustomOFFICE USE ONLY: DATE FILED: ` +LA REVISION FEE: �A •l LOCATION/SITE ADDRESS: F-ILE COPY ° PERMIT # I Zl/ �? l/ 3 U RECEIPT # � 1( 2'�Q-11 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 DETAILED DESCRIPTION OF PROJECT REVISIONS: 2 � CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: STATE: PHONE (DAYTIME): OWNER/BUILDER INFORMATION: E4NAME: ADDRESS: CITY:STATE: PHONE (DAYTIME- ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130/17 I RECEIVED JAN 14 2021 permitting Department St, Lucie County ST. LUCIE CO CERT. #: ZIP: FAX: FAX: ZIP: ZIP: tl �