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Home My WebLink AboutRevisions; Revised Survey 6-30-2017OFFICE USE ONLY: DATE FIWED: REVISION FEE: LOCATION/SITE 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 f �onj CO�IACTOR INFORMATION: STATE of FL REG./CE tU5LEO CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): FAX: OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: STATE: PHONE (DAYTIME: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130/17. ' FAX: ZIP: ZIP: