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HomeMy WebLinkAboutAPPLICATION FOR BUILDING PERMIT REVISIONS OFFICE USE ONLY: DATE FILED: PERMIT# 2202-0671 REVISION FEE: RECEIPT# PLANNING & DEVELOP ENT SERVICES BUILDING&CODE REGUI ATION DIVISION 2300 VlRW IA AVENUE FORT PIERCE, FL 34982-5652 (772)41 i2-1553 APPLICATION FOR BUIL ING PERMIT REVISIONS PROJECT INFORMATION LOCATIONISITE ADDRESS: 7502 DELAND AVE DETAILED DESCRIPTION OF PROJECT REVISIONS: ADDING FLAT ROOF TO PERMIT CONTRACTOR INFORMATION: STATE of FL REG../CERT. #: CCC1330653 ST. LUCIE CO CERT. #: BUSINESS NAME: TREASURE COAST ROOFING QUALIFIERS NAME: \Q c\ n Q ADDRESS: CITY: - v cko--- STATE: r 1��i �'� ZIP: 3 W PHONE (DAYTIME): �'��- '1C� �?�'� q FAX: OWNER/BUILDER INFORMATION: NAME: p ken 7a ADDRESS: CITY: pr C STATE: L ZIP: 9 i� PHONF. (DAYTIM : FAX: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): FAX: SLCCC: 9123109 Revised 06/30117 i