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# 1805-0566
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PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGIIVIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 FAX (772) 462-1578
APPLICATION FOR BUILDING PERMIT REVISIONS.
PROJECT� INFORMATION
LOCATION/SITE
ADDRESS: 3925 Shoreside Drive. Tarnon Fiats
DETAILED DESCRIPTION OF PROJECT
WKISIONS: ,
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: CGC-058625 ST. LUCIE COUNTY CERT. #:
JUSINESS NAME; mes
WALIFIERS NAMEb N Jog Ra an �e
►DDRESS:
Xry'
'HONE (DAYTIME): - - STATE:
FAX: ZIP:
)WNER/BUELDER INFORMATION:
AME: Randall Stofft
DDRESS:
HOONE:
FISTATE:
RCHITECT/ENGINEER INFORMATION:
tME: Randall Stofft
DRESS: wm ,on o e ay eac
.TY' STATE:
[ONE (DAYTIME):
•ised 07/22/2014
ZIP:
FAX:
ST. LUCIE COUNTY BUILDIN D
REVIEWED FOR COMPLIANC
REVIEWED BY / / i
ZIP:
FAX:
Y BE KEPT ON JOB
(S) WILL BE MADE
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