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OFFICE USE ONLY:
DATE FILED::: G7. �-r -%''� PERMIT
REVISION FEE: RECEIPT #: :%! I ' ` v
ST. LUCIE COUNTY
DEPARTMENT OF COMMUNITY I;
BUILDING & ZONINd
2300 VIRGINIA AVEN-11
FORT PIERCE, FLORIDA jf
772-462-1553
APPLICATION FOR BUILDING
PROJECT INFORMATION
1. LOCATION/SITE /
ADDRESS: ` 0 `U 0 6:q 4 blr-, 0 6o
2. DETAILED DESCRIPTIONS OF PROJECT
REVISIONS: n��,�on S:�Q pbr� ��slo� , 'B14
iZe IV (A 2 o .
3. CONTRACTOR INFORMATION:
ST. OF FL REG/CERT #: a.OSa r' ST. LUCIE COUNTY CERT #:
BUSINESS NAME: Icy D� btl�c. -
QUALIFIERS NAME: /�'ie/f2/CC p�o2
ADDRESS: l fay
CITY: A'eye, STATE ZIP: r,1? 7 .9
PHONE (DAYTIME): FAX # 673-
4. ARCHIT/ENGINEER:
.NAME: Sp;I�'f C',wdC
ADDRESS: <�oU D6u9tks 9'4 w' z
CITY: GO M L STATE FL- ZIP: 3 3 i3 y
PHONE (DAYTIME): 3o S- c{y�_ 3 S rf FAX# 30 l — YY7.3 r6 d
12/19/02