HomeMy WebLinkAboutVENTURE OUT REVISION FORM TO ST LUCIE COUNTY 06-14-2021.pdfD7sK$T0lW_0KlKIlVA
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LOCATION/SITE
ADDRESS: /670
PERMIT # _
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. #:
BUSINESS NAME: 006h
QUALIFIERS NAME: _c- la
CITY: Sf G
PHONE(DA'
OWNER/BUILDER INFORMATION:
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PHONE (DAYTIME:
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ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
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ST. LUCIE CO CERT. #:
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