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REVISION 6-18-19
OFFICE USE ONLY: 5 ANNW DATE FILED: WiAPARAIV REVISION FEE: PERNUT # I - o. is RECEIPT # 2" PLANNING & DEVELOPMENT SERVICES BUILDING,i CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 LTION FOR BUILDING PERMIT REVISIONS ROJECT INFORMATION LOCATION/SITE ADDRESS: 4416 HIGHWAY AlA -QUEENS ISLAND PRESERVE aKa ACQUAVIAST LOT 2 DETAILED DESCRIPTION OF PROJECT REVISIONS: I AS -BUILT ALTERATIONS TO PILE LOCATIONS FOR FOUNDATION - LOWER BEAM ADJUSTMENTS TO SUIT __ CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CGC0472891 BUSINESSNAME: UBALDO BLANCO GC INC QUALIFIERS NAME- UBALDO BLANCO ADDRESS: 437 GOLDEN ISLE DRIVE APT-8F CITY: HARMONY STATE- FLORIDA PHONE (DAYTIME): (786) 512-5717 OWNER/BUILDER INFORMATI NAME: VENETIAN ADMINISTRATION LLC ADDRESS: 7400 FLAGLER AVENUE CITY: MIAMI PHONE (DAYTIME: ST. LUCIE CO CERT. #: 30970 ZIP: 33009 r "1% STATE: FLORIDA ZIP: 33144 FAX: ARCHITECT/ENGINEER INFORM,�TION: I NAME: KNIGHT MCGUIRE& ASSOCIATES ADDRESS: 80 ROYAL PALM POINTE SUITE 401 CITY: VERO BEACH PHONE (DAYTIME): (772) 569-5505 STATE: FLORIDA ZIP: 32960 FAX: (772) 569-1455 I Revised 0613 0/17 uu 'u SLCCC.- 9123109 1 LE-l" PY V I S I