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HomeMy WebLinkAboutBuilding Permit RevisionOFFICE USE ONLY: DATE FILED: © ' D,., ' a © al REVISION FEE: ME 00 PERMIT # a ®l I - © 2 1 RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION RECEIVED 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982.5652 O C T 2 12020 (772) 462.1553 St. Lucie County APPLICATION FOR BUILDING PERMIT REVISIONS Permitting PROJECT INFORMATION LOCATION/SITE ADDRESS: Co taA r- % e Ct L 1 DETAILED DESCRIPTION OF PROJECT CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIME): STATE: OWNER/BUILDER INFORMATION: NAME: LAACXAC NAWM ADDRESS: SO 1 I+ Ire CITY: r ' erte STATE: PHONE (DAYTIME: 77 2 - .i 7 7 - 9 7 �v � ARCHITECT/ENGINEER INFORMATION: NAME: A A.^ ll ft ?-Cre-s -3-I1 ADDRESS:I3()Sa Sw l33 Cour CITY: M i GArn i STATE: _ PHONE (DAYTIME): .I� pS J 7 1 SLCCC: 9123109 Revised 06130117 ST. LUCIE CO CERT. #: ZIP: FAX: FAX: ZIP: 3 yNS-1 L ZIP: F Xj, : A P' I % I