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1912-0233 Revision Resisto
OFFICE USE ONLY: DATE FILED: REVISION FEE: LOCATION/SITE ADDRESS: 2204 St. Lucie Blvd PERMIT # 1912-0233 RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION DETAILED DESCRIPTION OF PROJECT REVISIONS: CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CCC1331401 BUSINESS NAME: Prezidential's Roofing LLC QUALIFIERS NAME: Daniel Williams ADDRESS: 1813 N 17th St CITY: Fort Pierce STATE: Fl PHONE (DAYTIME): 772-353-5565 OWNER/BUILDER INFORMATION: NAME: Warren Lehman ADDRESS:2204 St Lucie Blvd CITY: Fort Pierce STATE: FI PHONE (DAYTIME: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130/17 STATE: ST. LUCIE CO CERT. #: FAX: FAX: ZIP: 34950 ZIP: 34946 ZIP: