HomeMy WebLinkAboutREVISIONOFFICE USE ONLY:
DATE FILED: 6 - 19- / IF
REVISION FEE: 7S
SCANNED
By
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LOCATION/SITE
PERMIT #
RECEIPT # R ��
PLANNING & DEVELOPMENT SERVI
BUILDING & CODE REGULATION DIVISI(
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT RE'
, PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: -e cf- STATE:
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
NAME: VU C
ADDRESS:
CITY:
PHONE (DAYTIME:
11
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JUN 19 2018
IONS
permitting Department
St. Lucie County, FL
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ST. LUCIE CO CERT. #: S�
ZIP:
FAX:
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STATE: % ZIP:
FAX:
ARCHITECT/ENGINEER INFORMATION:
NA
AD
CIT
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
FAX:
REVISION