HomeMy WebLinkAboutRevision Request-Remove entry door, approvedOFFICE USE ONLY:
DATE FILED:
REVISION FEE: -
LOCATION/SITE
H
PERMIT # _
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
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: Scc 1�
BUSINESS NAME: y.0c nyl t
QUALIFIERS NAME: c
ADDRESS: S 3
CITY: STA7
PHONE AYTIME): f� IDI itD-']
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NAME:
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CITY: Rx%l -
PHONE (DAYTIME: u- —;'
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I �jg ST. LUCIE CO CERT. #: Oq,34
ARCHITECT/ENGINEER INFORMATION:
NAME
ADDRESS:
CITY: STATE:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
FAX:
IW.V-49
ZIP:
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Port St Lucie, FL 34986
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