HomeMy WebLinkAboutAPPLICATION FOR PERMIT REVISIONSOFFICE USE ONLY:
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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
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DETAILED DESCRIPTION OF PROJECT rwty1,Y�{ 1,�
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: G I I Jr -7
BUSINESS NAME: R 44 Aw v. Cnr
QUALIFIERS NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME): - - -7 166
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PHONE (DAYTIME):
SLCCC: 9123109
Revised 06/30/17
T. LUCIE CO CERT. #:
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I'AI.2