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Home My WebLink AboutRevisions OFFICE USE ONLY: t G DATE FILED: ( PERMIT# REVISION FEE: 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: U DETAILED DESCRIPTION OF PROJECT REVISnSe'vo \( . ` 1 a CONTRACTOR INFORMATION: STATE of FL REG./CERT.#: ST.LUCIE CO CERT.#: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME): FAX: OWNER/BUII.DER INFORMATION: 11 NAME: 3V { rel- ADDRESS: CITY: STATE: ZIP: PHONE(DA TIME: AX: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME): FAX: SLCCC: 9123109 Revised 06130117