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HomeMy WebLinkAboutBuilding Permit Application RevisionOFFICE USE ONLY: 0 DATE FILED: 1 d - -"*4 - a� REVISION FEE: ~i O� PERMIT # ;Zdd L " ©o 7 RECEIPT # l $C) -�-l71 PLANNING & DEVELOPMENT SERVICES RECEIVED BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 OCT 21 2020 (772) 462-1553 St. Lucie County Permitting APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION LOCATION/SITE ADDRESS: <jCv G0P,l�er Rr�e 2 p DETAILED DESCRIPTION OF PROJECT CONTRACTOR INFORMATION: STATE of FL REG /CERT #• pp ST. LUCIE CO CERT. #: BUSINESS NAME: Pw l QUALIFIERS NAME: �ay eo•s-�a f j� ADDRESS:Q13( Sw clnnj�i/�w CITY: 5t lyrC STATE:./9 ZIP: PHONE (DAYTIME): 15j'g- FAX: OWNER/BUILDER INFORMATION: NAME:'Wo c4ol� %Arn ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME: 772,2� o `36 �� FAX: ARCHITECT/ENGINEER INFORMATION: Q A� H NA AD CITY: PHON STATE: G1F: E (DAYTIME): FAX: 0% SLCCC: 9123109 Revised 06130/17