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Home My WebLink AboutREVISION 1-17-19OFFICE USE ONLY: DATE FILED: / . / 7 , (9 REVISION FEE: %5-0 O PERMIT # G �r ©✓ 6 O RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982.5652 (772) 462-1553 ISION APPLICATION FOR BUILDING PER R S PROJECT INFORMATION LOCATION/SITE ADDRESS: / � 1 -� Pe"I C-0 DETAILED DESCRIPTION OF PROJECT CONTRACTOR INFORMATION: STATE of FL REG./CERT. # BUSINESS NAME:( QUALIFIERS NAME: ADDRESS: CITY: -q9AAQ ea PHONE (DAYTPvIE): �`1 OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE (Dj R (1--)4 ST. LUCIE CO CERT. #: ARCffiTECT/ENGINEER INFORMATION: CITY: PHONE (DA SLCCC. 9123109 Revised 06130117 — I om