HomeMy WebLinkAboutREVISION 10-30-18OFFICE USE ONLY:
DATE FILED: *30
REVISION FEE: 4 yq I
SCANNED PERMIT # � � � S-- 0
BY CEIPT # y y
S Lucie fount �4
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772) 462.1553
RECEIVED
APPLICATION FOR BUILDING PERMIT REVISIOP IS.
PROJECT INFORMATION O C T 3 U 2018
LOCATION/SITE ST. Lucie County, Permitting
ADDRESS: - -.
DETAILED DESCRIPTION OF PROJECT
REVISIONS:slyo I1 PEWzluvl;�e/ (a
I �Y
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: 01, t 0
BUSINESS NAME: 0•0rAz'
QUALIFIERS NAME: M,4; , J D
ADDRESS: 2- d
CITY: .if��°.0 STA
PHONE (DAYTIME): ? In
OWNER/BUILDER INFORMATION:
NAME: 6: 0 I = Lf
ADDRESS:
CITY:
PHONE (DAYTIME:
ARCHITECT/ENGINEER INFORMA
ST. LUCIE CO CERT. #:
Z . ZIP:
FAX:
STATE: ZIP:
FAX:
NAME: cOj?-50i%(
ADDRESS:
CITY: I ST.
PHONE (DAYTIME):
SLCCC. 9123109
Revised 06130/17
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