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DATE FILED: 1 o 2'ie PERMIT # VtO6- 03 56
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REVISION FEE: ro • RECEIPT # � l 7 5
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772)462.1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
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STATE:
OWNER/BUILDER INFORMATION:
NAME: �Z . NAa
ADDRESS: 2
CITY: 7T70(L`C
PHONE (DAYTIME:
ST. LUCIE CO CERT. #:
FAX:
ZIP:
C. A.-J� � d::" _- sfr�
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STATE: ZIP:
-- - [aA $ FAX:
ARCHITECT/ENGINEER INFORMATION:
CITY: V5Sf,
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117 REVISION
DRAFTING SERVICES
JOAN ]APPE, I.S,L`
PHONE: M2) 2 7-72
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PAUL WELCH INC.
MP.CH-HLEC-CIV1 ENO
1984 SW HILTMORH ST. #114
PORT ST LUCIE, PL 34994
PAUL WELCH, P.E. PLA
RHO. No. 29943
Date:®'ET 2 3 2019 _
SCALE: L/i = P-0"
JOB No: 517-0639
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