HomeMy WebLinkAboutREVISION 5-18-18OFFICE USE ONLY:
DATE FILED: /F -,-2 d /g'
REVISION FEE: %�- 41,11
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LOCATION/SITE
ADDRESS: IIF
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PERMIT #
RECEIPT #
,ANNING & DEVELOPMENT SERVI
BUILDING & CODE REGULATION DIVISI(
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
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STATE of FL REG./CERT. #: L-(= C 0- 5 Y T F//
BUSINESS NAME: Co//i i-r J$&V1Ye rs
QUALIFIERS NAME: i ,<i c 6 /Oo4
ADDRESS: CT0 2 -5:4 o 1- !'•
CITY: h pf o 12 & Bch STATE: F
PHONE (DAYTIME): 5.6/- y2 6 33370
OWNER/BUILDER -INFORMATION:
ST. LUCIE CO CERT. #:
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FAX:
NAME: __�Aeo'7fr�0�
ADDRE S: z ,�
CITY; d S G UCi STATE• L
PHONE (DAYTIME:.& to/- 2y;R 5 9 e 7 I
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS: Sd�Al. R/ y/v,
CITY: CAPb b e f
PHONE (DAYTIME):
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STATE: 147L
/W/ FAX:
ZIP: v
SLCCC: 9123109 .
Revised 06130117 File COPS
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