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PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5662
(772) 462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
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ADDRESS:
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DETAILED DESCRIPTION OF PROJECT
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CaZ['
BUSINESS NAME: jZc „ko a C
QUALIFIERS NAME: ��
ADDRESS: I zr
CITY: f+, , 7? t; STATE:
PHONE (DAYTIME): ) 7- - 216 - I t
OWNER/BUILDER INFORMATION:
NAME: ikotiA
CITY: t4..T'OH i n! sc4 i 51 STATE: _
PHONE (DAYTIME: 3 �70 - ?'NO
ARCHITECT/ENGINEER INFORMATION:
NAME: V ortj So,J 12vDuS 7K
ADDRESS: a�?jI 1y L.� 50
CITY: M,E,AIgY
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
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FAX:
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