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REVISION FORM FOR 8216 KIAWAH TRCE
OFFICE USE ONLY: DATE FILED: REVISION FEE: LOCATION/SITE ADDRESS: 8216 KIAWAH TRCE PERMIT # 2012-0655 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: CHANGING FROM STANDING SEAMS TO TILE ROOF CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CCC1330653 BUSINESS NAME: TREASURE COAST ROOFING QUALIFIERS NAME: BRIAN MALONEY ADDRESS: 1816 SW BILTMORE ST CITY: PORT ST LUCIE STATE: FLORIDA PHONE (DAYTIME): 772-370-9770 OWNERBUILDER INFORMATION: NAME: CHRISTINE SHEPPARD ADDRESS:8216 KIAWAH TRCE CITY: PORT ST LUCIE PHONE (DAYTIME: 772-465-2781 STATE: FL ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130/17 STATE: ST. LUCIE CO CERT. #: I�I ram: FAX: ZIP: 34984 ZIP: 34984 ZIP: