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HomeMy WebLinkAboutAPPLICATION FOR PERMIT REVISIONOFFICE USE ONLY: —f %jt wMwhu EU � DATE FILED: ' I Ildecalw l'�p�,� I,-%V/6y[a)e6SDI BE PERMIT # 27J O I - 6 7/ 3 RECEIPT # 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: 0 000 Q A�Loe-,Lee,�-)o �s-r DETAILED DESCRIPTION OF PROJECT REVISIONS: r LJ 7: s2�.�A-1) 60 CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: ST. LUCIE CO CERT. #: ZocD 77 BUSINESS NAME: 'I dzQ,4,.c,,, r4 _Cnl4--s T- G' �- c QUALIFIERS NAME: ADDRESS: p a CITY: 5rr �•(�,�;�u� STATE: ZIP: PHONE (DAYTIME): 7 Z FAX: OWNER/BUILDER INFORMATION: 11 ralT. .-V�N RINS CITY: PHONE (DAYTIME: STATE: ARCHITECT/ENGINEER INFORMATION: NAME: FAX: ZIP: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): FAX: SLCCC.• 9123109 Revised 06130117