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Home My WebLink AboutAPPLICATION FOR PERMIT REVISIONSOFFICE USE ONLY: DATE FILED: REVISION FEE: LOCATIONISITE ADDRESS: PERMT # RECEIPT # d-11;—vc,S1 PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DMSION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982.5652 (772) 462.1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION DETAILED DESCRIPTION OF PROJECT REVISIONS: ��+? CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: Q Dq3 �A BUSINESS NAME: I VVW-, V\ (,9 C OviN QUALIFIERS NAME: L ItvviA° L� i ' ► ADDRESS: �(� 1 Qk CITY: STATE: PHONE (DAYTIME): L - 1/0 �-- $$ ?& 1 OWNER/BUILDER INFORMATION: NAME: S�A ow)n av-N `n 4arP� ADDRESS: �� '� I�Gw- l.`► 1 CITY: +eT c •t- lrLA c i 4 STATE: � PHONE (DAYTIME: - ° 1 ARCIIITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC. 9123109 Revised 0 613 0/17 ST. LUCIE CO CERT. #: ZIP: - L FAX: -YN t - L FAX: ZIP: '- q STATE: ZIP: FAX: 1!acv.