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APPROVED, REVISION FORM,Alternate Slider Track Support Detailss (2)(1)
dp OFfICE UNSF ONA-1 b DATF FILF-Ma mmmm� RVATN"10N., FFFIL LOCATIONISITE ADDRESS: 9 -0 - -.. PERMIT 0 410 J RVA"FAIrr so PLANNING & DEVELOPNIENT SERVICES BUILDING di CODE REC"AlLATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION ai q Hv�/ L Liu � IF L Oak LN PAC wi (I ITy FL. 3 vY<7O DETAILED DESCRIPTION OF PROJECT REVISIONS., C41�a..tF-f OF Qci�,;l_. �ccT;on! A 1 OF �a3K A 4 CONTRACTOR INFORMATION0 : STATE of FL REG./CERT. #: ►s�so.z BUSINESS NAME: Ac:0m- QUALIFIERS NAME: 550Ci47F5 LC ADDRESS: ;LlsO/ ALZ CA"ae-l';0! CITY: %�„�,.l STATE: f=C. PHONE (DAYTIME): 67G/ OOWNER/BUILDER INFORMATION: NAME:0 ADDRESS CITY: ME: ARCHITEC7'/ENGINEER INFORMATION: NAME: �oM/l-il T 0E5/6/q'd ADDRESS: -?aS S6- t�eT- CITY: PHONE (DAYTIME SLCCC: 9123109 Revised 06130117 0 ATE: ST. LUCIE CO CERT., #: FAX: FAX: 14E e.L?Q dr STATE. ZIP: 39%5- 4; 6 FL ZIP: ): 3� ;?'z a vsw- o s; C;�. FAX:" 0