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PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982m5652
(772) 462m 1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
il1EVISIONS
CONTRACTOR INFORMATION
STATE of FL REG./CET. #: _
BUSINESS NAME��? u
QUALIFIERS NAMPI__j:
ADDRESS:
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PHONE (DAYTIME
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OWNER/BUILDER INFORMATION:
NAME:
ADDRESS
ClITY:
PHONE (DAYTINEIE:
STATE
FAX:
ARCHITECT/ENGYNEER INFORMATION:
NAME:
ADDRESS
CITY:
PIR)NE (DAY
SLCCC&h 9123109
Revised 06/30/17
STATE:
FAX;
ZIP:
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Section D (Steep Slope Roof System)
Roof System Manufacturer:
Notice of Acceptance Number: `/ (17 � 4-1,1
Minimum Design Wind Pressures, If Applicable From AS 2 or Calculations}:
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