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Home My WebLink AboutAPPROVED, Revision Form-GormleyOFFICE USE ONLY: DATE FILED: REVISION FEE: PERMIT # 2106-0453 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 LOCATION/SITE ADDRESS: 385 NE Bracken Rd Port Saint Lucie, FL 34983 DETAILED DESCRIPTION OF PROJECT REVISIONS: Revised module layout relocating 5 modules from front of house CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CVC56948 BUSINESS NAME: Urban Solar Group, Inc QUALIFIERS NAME: Michael Vergona ADDRESS: 990 S Rogers Circle, Suite 4 CITY: Boca Raton STATE: FL PHONE (DAYTIME): 561-609-2664 OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME: STATE: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): ACCC: 9123109 Revised 06130117 STATE: ST. LUCIE CO CERT. #: 31759 FAX: FAX: 1 r:ViIM ZIP: 33487 ZIP: ZIP: