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HomeMy WebLinkAboutREVISION RECENED OFFICE USE ONLY: SEP $ 2 2021 DATE FILED: PERMIT#2108-0753 REVISION FEE: RECEIPT# PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION• 2300 VIRGINIA AVENUE FILE g ur%P VFORT PIERCE,FL 34982-5652 772 462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION LOCATION/SITE ADDRESS: 11580 Okeechobee Road Fort Pierce FI. 34945 - DETAILED DESCRIPTION OF PROJECT REVISIONS: exclude west side-of house and include entire north side of house CONTRACTOR INFORMATION: STATE of FL REGJCERT. #: ST. LUCIE CO CERT: #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTRJE): FAX: OWNER/BUILDER INFORMATION: NAME: Diane Hinton ADDRESS:11580 Okeechobee Rd. CITY: FortPierce STATE: FL ZIP: 34945 PHONE (DAYTIME: 772-528-7838 FAX: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): FAX: SLCCC: 9/23/0 IIs Revised 06/30/1 LE - . IF-VIS1