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REVISION, Amend drawing to include kitchen, expanded block ret wall 2.22.21
OFFICE USE ONLY: DATE FILED: REVISION FEE: LOCATION/SITE ADDRESS: PERMIT # .Sle - p%6/ RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34962-5652 (772) 462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION ,direr 60,E DETAILED DESCRIPTION OF PROJECT TT«0<AlTO- CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIME): STATE: OWNER/BUILDER INFORMATION: NAME: CITY: PHONE (DAYTIME: !J "QVA ST. LUCIE CO CERT. #: ZIP: FAX: �g7..C�/ ATE: FL ZIP: FAX: ARCHITECT/ENGINEER INFORMATION: NAME: , of &2 v'w .3TcS . ADDRESS: ¢/Z Of o _ 4&UcIlor' CITY: STATE: oz=L ZIP: PHONE (DAYTIME): 1Zg - Ag 77 FAX: SLCCC: 9123109 Revised 06130117 � •~ � a• -LNG _ y • �- 1. r '