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OFFICE USE ONLY: DATE FILED: ' �' PERMIT# REVISION FEE: � • l9�' RECEIPT# PLANNING &DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE RECEIVED FORT PIERCE,FL 34982.5652 17 2022 (772)462-1553 MAR APPLICATION FOR BUILDING PERMIT REVISIONS 'P county tmin�fl� PROJECT INFORMATION LOCATION/SITE ADDRESS: //�� �9bS CfCv- 1 4oAJ o a (Po, t� L..l dC I C Int --) I 'l DETAILED DESCRIPTION OF PROJECT REVISIONS: amle 1'.., /so -rL,) qoo xv4p sef vlc� CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: •EC 0 0 q q S,5'- ' ST. LUCIE CO CERT. BUSINESS NAME: S f&.5 E1 CC-V-n'C. 0 ���f'k Cksv-.J C 2;eu C, QUALIFIERS NAME: ADDRESS: 5 ftcWS �J CITY: r a t'CC STATE: FL ZIP: 3 Q PHONE(DAYTIME): :777_ .%? 13 — 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 REVISION 7 • .. .� Cif �'��'c�+� .. - ... . � REGENED JA N 26 znzz ale 8t,:l,ualo County Parmip tHng • 2/0 —G G$®r .. C®pj� -GQ -lu c$.