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HomeMy WebLinkAboutApplication Building Permit RevisionsOFFICE USE ONLY: DATE FILED: REVISION FEE: 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 LOCATION/SITE ADDRESS: 510 7 TrA iAn �i erc� 3 5 0 DETAILED DESCRIPTION OF PROJECT REVISIONS: ' Fro,c,S- 4ram rnArio RLASS0 CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: 1Y QUALIFIERS NAME: ADDRESS: CITY: 51 L&(" PHONE (DAYTIME): OWNER/BUILDER INFORMATION: NAME: Po bes T �AIA �GI-p ADDRESS: Sloes Snolian LCJ CITY: F-r Pt Erzcc- STATE: PHONE (DAYTIME: 4 Z5- 9 3 % - ? S E4 _ ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130/17 STATE: C+T T T Tf'Tr7 /' U'n r U. 2 .,i Z L I.7•�:ii FAX: ZIP: 3 `i 615 ZIP: