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Home My WebLink AboutLandis Revision SkylightOFFICE USE ONLY: DATE FILED: REVISION FEE: LOCATION/SITE ADDRESS: PERMIT# 2203 -00068 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 REVIS ONS: O L! c*wn- decided- Oan-ls -to CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: o-Lt QUALIFIERS NAME: C-'(i ADDRESS'.) l CITY: 4kLsai ntE PHONE (DAYTIME): OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME: STATE: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC. 9123109 Revised 06130/17 STATE: iI FAX: CO CERT. #: ZIP: ZIP: