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Home My WebLink AboutEverhard 4-5OFFICE USE ONLY: DATE FILED: REVISION FEE: LOCATION/SITE ADDRESS: _ . PERMIT # RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982.5652 (772) 462-1553 APPLICATION FOR BUILDING PERMIT DEFERRAL PROJECT INFORMATION DETAILED DESCRIPTION OF PROJECT REVISIONS: CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: JO-1 par CITY: '?yrApw03 PHONE (DAYTIME): EC e,: -544 ST. LUCIE CO CERT. #: STATE: (_.. ZIP: -)`71(r FAX: OWNER/BUILDER INFORMATION: NAME: _ ADDRESS: CITY: PHONE (DAYTIME: STATE: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC. 9123109 Revised 07117118 STATE: FAX: ZIP: ZIP: