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Home My WebLink AboutApplication For Permit RevisionOFFICE USE ONLY: DATE FILED: REVISION FEE: PERMIT # /os a�z RECEIPT # �7CJ PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION RECEIVED 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 DEC 13 2021 (772) 462-1553 St. Lucie County Permitting APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION LOCATION/SITE ADDRESS: DETAILED DESCRIPTION OF PROJECT REVISIONS: � 1w� CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: �(T- G1 C QUALIFIERS NAME: MAVIV / ADDRESS: a E) ) 5 CU) KL A 10 CITY: a<- STATE: L-` PHONE (DAYTIME): OWNEWBUILIDER INFORMATION: NAME: L- ADDRF44: ST. LUCIE CO CERT. #: f�3,_ FAX: CITY: STATE: PHONE (DAYTIME: FAX- ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130/17 STATE: r HA: ZIP: ZIP: ZIP: