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REVISION 3-30-18
OFFICE USE ONLY: DATE FILED:© REVISION FEE: SCANt4EDD PERMIT B St Lucie Cou* RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462.1553 APPLICATION FOR BUILDING PERMIT REVISIO PROJECT INFORMATION LOCATION/SITE ADDRESS: 119 5-)& 11 1 ?�� I-C'- YN DETAILED DESCRIPTION OF PROJECT REVISIONS: 11 c - _ Z(yqG� ��rCre`e G Y\u FrccG"n�'r CONTRACTOR INFORMATION: STATE of FL REG./CERT. #L BUSINESS NAME: S7 % QUALIFIERS NAMEq CITY: OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTEME: STATE: ARCHITECT/ENGINEER INFORMATION: CITY: gyp. PHONE(DA SLCCC: 9123109 Revised 06130/17 RECEIVED MAR 3 0 2018 ST. Lucie County, Permitting 9 paa� ST. LUCIE CO CERT. #: FAX: Lwallw& , VA -pa 1. ccmmeo ,� +.�,,,�:�•.� � � • tom.-, .. 71%