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HomeMy WebLinkAboutApplication Building Permit RevisionOFFICE USE ONLY: DATE FILED: REVISION FEE: LOCATION/SITE ADDRESS: 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 uF.vrcrrnvc• CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS.NAME: 5e4 QUALIFIERS NAME: CITY: a. STATE: W j PHONE (DAYTIME): 't "7,X-- 316 0574 OWNER/BUILDER INFORMATION: NAME: 5.4 rn ADDRESS: ST. LUCIE CO CERT. #: FAX: CITY: STATE: PHONE (DAYTIME: FAX: ARCHITECT/ENGINEER INFORMATION: NAME: Vct 4LI_u2 (C ILL. -lilitle, ADDREy S: JqJ& 5&1 �lG�d�1P� mil• CITY: 0 % STATE: PHONE (DAYTIME): SLCCC: 9123109 c Revised 06130117 ZIP: ZIP: ZIP: FAX: