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HomeMy WebLinkAboutREVISIONOFFICE USE ONLY:��N�� DATE FILED: Bl� REVISION FEE: 1 S• 00 st Lucid ro � PERMIT # 0 gOS- 0 q 1 RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING &;CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FIL;FORT PIERCE, FL 34982-5652 E COPY (772) 462.1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION LOCATION/SITE ADDRESS: DETAILED DESCRIPTION OF REVISIONS: _ CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: '7)r,� ADDRESS: !�a ya lgcb CITY: ftna' PHONE (DAYTIME): 4rrf17- ATE: I OWNER/BUILDER INFORMATION: NAME: ADDRESS: 1 ST. LUCIE CO CERT. #: FAX: CITY: STATE: PHONE (DAYTIME: i FAX: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: PHONE (DAYTIME): FAX: ZIP: fzy� SLCCC: 9123109 Revised 06130/17 R,,EVISIUN ZIP: ZIP: