HomeMy WebLinkAboutRevisions; Add Rear Fence. r— ...,i
OFFICE USE ONLY:
DATE FILED: .5I.2y r 2j
REVISION FEE:
PERMIT # C9/Oy O a
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-56�5 E"VISIER , FL:353";
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
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LOCATION/SITE
ADDRESS:: r.! r:. :
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DETAILED DESCRIPTION OF PROJECT
REVISIONS: q8J�
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CONTRACTOR INFO
STATE of FL REG./CERT.
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
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ATION:
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#: ST. LUCIE CO CERT. #:
STATE:
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
NAME: GLtn� G'� �,�- Vsc) Vj
ADDRESS: a f
CITY: f YNV ✓ STATE:
PHONE (DAYTIME: 7 7 2- -f - �1 l I
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130/17
STATE:
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FAX:
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ZIP:
ZIP:
ZIP:
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