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Home My WebLink AboutRevision OFFICE USE ONLY: DATE FILED: 1 \'��a� PERMIT# REVISION FEE: r, RECEIPT# PLANNING & DEVELOPMENT SERVICES BUILDING&CODE REGULATION DMSION 2300 VIRGINIA AVENUE FORT PIERCE, FL 11112-5652 REVISION (772)462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS BILE COPY PROJECT INFORMATION LOCATION/SITE ADDRESS: DETAILED DESCRIPTION OF PROJECT REVISIONS: CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CAL tZg O4r,� ST. LUCIE CO CERT. #: BUSINESS NAME: j LLC_ QUALIFIERS NAME: ADDRESS: CITY: K-Al � C ZK7� STATE: iC--7 ZIP: PHONE(DAYTIME): FAX: OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME: FAX: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): FAX: SLCCC: 9123109 Revised 06130117 e r; r