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HomeMy WebLinkAboutbar sink rev 1OFFICE USE ONLY: DATE FILED: REVISION FEE: LOCATION/SITE ADDRESS: 2151 nettles blvd jensen beach fl PERMIT # 2004-0614 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: revision added bar/sink first floor CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: Mel Ry construction QUALIFIERS NAME: mack matos ADDRESS: 10967 s ocean dr CITY: jensen beac PHONE (DAYTIME)- 772-559-1176 STATE: fl OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME: 15,111 t1le a, I I I pro yj 11110" lei A N M 110110] IN OF 115,1110 Cole NAME: ADDRESS: CITY: PHONE (DAYTIME)- SLCCC.- 9123109 Revised 06130117 STATE: ST. LUCIE CO CERT. #: r AA: ZIP: 34957 m ZIP: