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Home My WebLink AboutREVISIONSCANNED OFFICE USE ONLY: BY DATE. FILED:.- \d \ 5 �� PERMIT # 0 �� REVISION FEE: ''1 S .O O - - — - - - - nty --- RECEIPT # PLANNING & DEVELOPMENT SERVICES RECEIVED BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL M982 52 0 G T 16 2 013 (772) 46tf5g3 y W APPLICATION FOR BUILDING PERMIT REVI e1e County, Permitting PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: 2. DETAILED DESCRIPTION OF PROJECT 3. CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIME): 4. OWNER/BUILDER INFORMATION: NAME: ADDRESS: 1 ST. LUCIE COUNTY CERT. #: STATE: t ZIP: 73 FAX: CITY: STATE: PHONE: FAX: _- ma 5. ARCHITECT/ENGINEER INFORMATION: NAME: lXJ ADDRESS: 99001 CITY: STATE: PHONE (DAYTIME): F SLCCC: 9/23/09 Revised 04/26/2010 ZIP: REVISION F'u�e Copy.