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HomeMy WebLinkAboutREVISION 7-17-18OFFICE USE ONLY: 1 DATE FILED:- 1 11 1 REVISION FEE: \4ki°S -a PLANNIN( BUILDING LOCATION/SITE ADDRESS: DETAILED DESCRIPTION OF REVISIONS: CONTRACTOR INFORMATION: PERMIT # a?04- RECEIPT # \y 01 y & DEVELOPMENT SERVICES & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 TION FOR BUILDING PERMIT DEFERRAL PROJECT INFORMATION a� doll STATE of FL REG./CERT. #: I ST. LUCIE CO CERT. #: BUSINESS NAME: ���� ' 9 j, e VfwPz'fV �S QUALIFIERS NAME: ADDRESS: c)e 1 CITY: +ESL STATE: \ ZIP: 3`n S 3 PHONE (DAYTIME): -7�? . �[� -oU 8 to FAX: OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME: STATE: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130/17 SCANNED BY ZIP: FAX: � . -,- e- . FALL kaUrT ::t