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HomeMy WebLinkAboutRevisions; R-20 Spray Foam SoffitsOFFICE USE ONLY: DATE FILED: P l r REVISION FEE: J PERMIT # 2-0D 5 r RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISIO ,, 2300. VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462.1553, APPLICATION FOR BUILDING PERMIT PROJECT INFORMATION LOCATION/SITE ADDRESS: �1-( 7 DETAILED DESCRIPTION OF PROJECT REVISIONS: CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: 4c, QUALIFIERS NAME: ADDRESS: CITY: l/Z,, �- PHONE (DAYTIME): C -G�0� ft ST. LUCIE CO CERT. #: -b STATE: Y=L _- 3,R9 2 FAX: OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME: ZIP: -y Z'--1 C'p Z STATE: ZIP: FAX: ARCHITECT/ENGINEER INFORMATION: NAME:��- ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): 5®rr - 33 7 2. FAX: -772- SLCCC: 9123109 - ems` - Revised 06130117 RECEIVED APR 21 2021 PQrmittirg O tPOFtn"-' St. Lucie Eour ,