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Home My WebLink AboutAPPLICATION FOR PERMIT REVISIONSOFFICE USE ONLY: DATE FILED: REVISION FEE: LOCATION/SITE ADDRESS: PERMIT # —I ! L 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 REVISIONS: (A SO-4 ✓ k CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: ✓� �n c.J ADDRESS: i CITY: STATE: PHONE (DAYTIME): OWNER/BUILDER INFORMATION: NAME: ST. LUCIE CO CERT. #: OScar� . - ZIP: FAX: ADDRESS: CITY: STATE: PHONE (DAYTIME: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130/17 FAX: STATE: FAX: ZIP: ZIP: