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HomeMy WebLinkAboutREVISION (2)p 02/15/2019 11:37 AM 13213622582 -> 17724621578 pg 2 of 4 _f OFFICE USE ONLY: DATE FILED: ,_"► REVISION FEE: sly �4 Q PAta"g, PERMIT # � Q bJ9,.. RECEIPT # PLANNING & DEVELOPMENT SERVICES RFcF s BUILDING & CODE REGULATION DIVISION I�F 2300 VIRGINIA AVENUE FFB FORT PIERCE, FL 34902-5652 ) 04 j e� 20 19 APPLICATION FOR BUILDING PERMIT DEFERRAL sty per�'��ti, PROJECT INFORMATION LOCATION/SITE ADDRESS: 606 KHterman rd Port St Lucie: FL 34952 DETAILED DESCRIPTION OF PROJECT REVISIONS: Permit# 1712.0019 Windows'and Doors CONTRACTOR INFORMATION: STATE of FL REWCERT. t CGC#041824 ST. LUCIE CO CERT. #: BUSINESS NAME: Welsh Construction QUALIFIERS NAME: Ken Welsh ADDRESS: 3845 W. Eau Gallia BLVD CITY: Melbourne STATE: FL ZIP: 32934 PHONE (DAYTIME): 321a57-7383 FAX: 321-362.2582 OWNER/BUILDER INFORMATION.: NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME: FAX ARCHITECT/ENGINEER INFORMATION: NAME: Frank G, Relf Architects ADDRESS: 35 Pinelawn Rd, Suite 207W CIq'y.. Melville STATE: NY ZIP: 11747 PHONE (DAYTIME): 631-2714432 FAX 631-2714532 SWCC: 9123109 Revised 07117118 �,.77 7 :w t