HomeMy WebLinkAboutREVISION 6-2-14Y
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DATE FILED: �j�l�
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PERMIT # ✓► 6�
RECEIPT # (D
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 fD701ADDRESS: C J -r±
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION: V
STATE of FL REG./CERT. #: ST. LU
BUSINESS NAME:
QUALIFIERS NAME: KYIWCK
ADDRESS: j 09 O1
CITY: S�'\5e � j e-o STATE:
PHONE (DAYTIME): FAX:
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OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
STATE:
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