HomeMy WebLinkAboutREVISION 8-13-18OFFICE USE ONLY:
DATE FILED:
REVISION FEE:
RECEIVE D
L AUG 13 2018
UG 13 201
aunty, Pvmitting
ST. Luc
ST. Lucle C,
SCANNEO
BY PERMIT 9 1 �S 0 6
St LucleCOUrItY RECEIPT#—:W&:::
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT DEFERRAL
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
Or---010?
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT.
BUSINESS NAME: Me
—
QUALIFIERS NAME.
CITY:
STA
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCC(': 9123109
Revisetl 0613 0/17
STATE:
z 3 4 � 0
ST. LUCIE CO CERT. 4: (MA
FAX:
FAX:
FAX:
ZIP:
ZIP:
ZIP:
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