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DATE FILED:
REVISION FEE:
PERMIT #
RECEIPT #
PLANNING & DEVELOPMENT SERVICES RECEIVED
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE AUG 0 4 2021
FORT PIERCE FL 34982 5652 "''
(772)
PROJECTI
LOCATION/SITE
ADDRESS: l nn -7 to
DETAILED DESCRIPTION OF PROJECT
REVISIONS: pp �� ,Q
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: STATE: _
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
NAME: 61AN
ADDRESS: �
CITY: _� VC T
PHONE (DAYTIME: -
ARCHITECT/ENGINEER INFORMATION:
NAME: t) r, I-n '�)G 11
ADDRESS: —1 U c, IS QUA C
CITY: VlbpVt ST
PHONE (DAYTIME): 1-7 - q 101' 33`60
SLCCC: 9123109
Revised 06130/17
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ST. LUCIE CO CERT. #:
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