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DATE FILED:s,(o'
REVISION FEE:
LOCATION/SITE
ADDRESS:
PERMIT #
RECEIPT #
PLANNING & DEVELOPMENT SERVICES RECEIVED
BUILDING & CODE REGULATION DMSION
2300 VIRGINIA AVENUE MAR 2 2 2019
FORT PIERCE, FL 34982.5652
(772) 462-1553 ST. Lucie County, Permitting
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
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DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
OWNER/BUILDER INFORMATION:
NAME: is fa Ccc.J 67-eWle-y
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ST. LUCIE CO CERT. #:
ADDRESS: lif tee.�d X-e_
CITY: r4 - STATE: r'c
PHONE (DAYTIME: -/-72 zit, 2-5-7� FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
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ZIP:
ZIP: 3�i-(7
ZIP:
SLCCC: 9123109
Revised 06130/17 JOKI
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RECEIVED
MAR 2 2 2019
ST. Lucie County, Permitting
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FILE COPY
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