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HomeMy WebLinkAbout0 SLC DEFERRAL Permit - ROOFING only # 201-0339 OFFICE USE ONLY: DATE FILED: PERMIT# 90 1 Q 3 3 91 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 DEFERRALti3 PROJECT INFORMATION LOCATION/SITE ADDRESS: AY30 Nobles Oaks L.ctne — Lot- Forl- DETAILED DESCRIPTION OF PROJECT REVISIONS: �} CO2PAr%!� C.0Ptr4tc'0r has ()of be-co SClec+ed a-� 7"�t t S 7 �. • e- !in n he c-A o r► e. t=o r .Z-3 niayAkS . l�e'� life, 7'imc tp sec��� cc, q©oo� r-oo �c -411 CAVai (ilo , �o CONTRACTOR INFORMATION: co em ID O, +tl e- d o b • (p e�yD y,� i 5 1, t r toahi•�d > STATE of FL REG./CERT. #: ST. LUCIE CO CERT. BUSINESS NAME: %AllCAAi & C OA6*0 iOn CO tf • LL.G QUALIFIERS NAME: p. ADDRESS: Jya� yittcc.cr_ (�-+'e,eyt . CITY: post . t.,y Gi t — rATE: 'L ZIP: 3 y�15�2 PHONE (DAYTIlVIE)-2��2 ,(�/ -3� L FAX: /0 51l OWNS UILDER INFORMATION: NAME: A u r e- i o c' �1 air 1 c' � Pore-4-a- ADDRESS: V Od- IeArl G CITY: port S f., j o C; z STATE: PL ZIP: IV 3 PHONE(DAYTIME: FAX: ARCHITECT/ENGINEER INFORMATION: NAME: h+a P Z-L Cr ADDRESS: `• M.t�'►. G -Ave- CITY: 9 r4-- 57. k u C,1 G STATE: L• ZIP: 3 q l g3 PHONE(DAYTIME): ��-,'Z ) �,"�/ - -�Z.�� FAX: SLCCC: 9123109 Revised 07117118