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OFFICE USE ONLY: _ DATE FILED: • ' PERMIT# REVISION FEE: L ✓v RECEIPT# PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUEz in FORT PIERCE, FL 34982-56 Contractor (772) 462-1553 s copy APPLICATION FOR BUILDING PER ? F PROJECT INFORMATION 4 4 S r r LOCATION/SITE ADDRESS: / DETAILED DESCRIPTION OF PROJECT REVISION : 1 �1't T l�lEln V r� �1 'y!f 441644 4 4- L4 t t� CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: Z 5` / ST. LUCIE CO CERT.#: BUSINESS NAME: QUALIFIERS NAME: I �N ADDRESS: .4 CITY: STATE: r/ ZIP: PHONE( AYTIME): �271 alb FAX: OWNER/BUILDER INFORMATION: NAME: Z2 b411 ADDRESS: 1%- CITY: "l I STATE: / ZIP: C/l / PHONE(DAYTIME: FAX: ARCHITECT/ENGINEE^R/INFORMATION: NAME: ADDRESS: / /7 w7Ji711,wj. 64,12 Z CITY: t STATE: /V1 ZIP: 3190 PHONE(DAYTIME): 7 S 36 FAX: AECENED 3 SLCCC: 9123109 Revised 06130117 MAR 14 2022 St. County permitting 3050 • • • • • • O �� • • • 1 l W-0" u, O R O o o r 0 1 N ^ C e> �\ 4, O l p 7 � ELECTRICAL SUB- PANEL GFCI 1 2868 C—'_`— © ----- ------ — ----- qG p R 0 - v B 4TH O 00 N GFCI nlr.l O 4 .. 413 GFCI -- �_ _. • -2868 ..� R 3050 dnn :gin - 1 i R co R: 17'-4"