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HomeMy WebLinkAboutAPPLICATION FOR BUILDING PERMIT REFERRALOFFICE USE ONLY: DATE FILED: m • S. I %, REVISION FEE: 07cS C) 0 PERMIT # 17- [ 2 - ©0 I( RECEIPT # / 7 1A PLANNING & DEVELOPMENT SERVICES BUILDING& CODE REGULATION DIVISION e�i�A69 E' 2300 VIRGINIA AVENUE . BY FORT PIERCE, FL 34982.5652 st Ludo' N11w, (772) 462.1553 APPLICATION FOR BUILDING PERMIT DEFffiERRAL=::j PROJECT INFORMATION LOCATION/SITE ADDRESS: DETAILED DESCRIPTION OF PROJECT 7j_ CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: O 7 `B0'7 BUSINESS NAME: (askl f4 (- ,75 QUALIFIERS NAME: kleit fide %ti ADDRESS: CITY: STATE: PHONE (DAYTIME): 32 f-S�-��, v3 OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME: STATE: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9123109 Revised 07117118 STATE: ST. LUCIE CO CERT. #: FAX: F ZIP: ZIP: DEC 13 2018 Permitting Department St. Lucie County, FL