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HomeMy WebLinkAboutRevisions OFFICE USE ONLY: DATE FILED: PERMIT# REVISION FEE: '��5 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/Sl'1'E ADDRESS: DETAILED DESCRIPTION OF PROJECT - ]REVISIONS: 10850 South Ocean Drive, Jensen Beach CONTRACTOR INFORMATION: 34957 STATE of FL REG./CERT. #: C 0 0 O V&I ST. LUCIE CO CERT. #: .BUSINESS NAME: C P S 1 T,C- QUALIFIERS NAME: L— ,0-bmo-; 2 ADDRESS: Lo D N,J Z$ 11 CITY: lam I STATE: ZIP: '431 J- 5 PHONE (DAYTIME): FAX: — OWNER/BUILDER INFORMATION: NAME: A 5 rA N ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME: ��-a a-�q ��►(— FAX: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): FAX: SLCCC: 9123109 Revised 06130/17