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HomeMy WebLinkAboutRevisions OFFICE USE ONLY: APPROVED�O7CT 2 9 N18 DATE FILED: © ,16 �o1Y PERMIT# / G 0 y' M 3S- REVISION FEE: r RECEIPT# PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION FILE COPY 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982.5652 (772)462.1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION LOCATION/SITE ADDRESS: DETAILED DESCRIPTION OF PROJECT REVMNS;��tn ®n /h e kk-Lre; e i r�1 veP-i CONTRACTOR INFORMATION: STATE of FL REG./CERT.# ST.LU IE CO CERT.#: BUSINESS NAME: u[ F� QUALIFIERS N �PL �2 ADDRESS�. ) )^ CITY: STATE: kL ZIP: PHONE(DAYTIME): -S FAX: = /�i� Sl�� e3ss- 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 I ,