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BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462.1553
APPLICATION FOR BUILDING PERMIT REVI:
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
REVISIONS: �•-
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: O ) ')-5" to 57
BUSINESS NAME: - �� �n l k)e AS a,
QUALIFIERS NAME:
ADDRESS:
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PHONE (DAYTIME): 77j
OWNER/BUILDER INFORMATION:
NAME: pe- L ' %q r 7
ADDRESS: , S + ' G" ' S
CITY: es-+ Pt,, 1 to ' STATE:
PHONE (DAYTIME:
ARCHITECT/ENGINEER INFORMATION:
NAME: Y 1 !n , F
ADDRESS: IMD —
CITY: Cl ` STATE:
PHONE (DAYTIME):.?
SLCCC: 9123109
Revised 06130117
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