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HomeMy WebLinkAbout20080274- APPLICATION FOR BUILDING PERMIT REVISION64 X OFFICE USE ONLY: DATE FILED: REVISION FEE: as 80ANNED By St. Lurie County PERMIT NUMBER: P. # car 19v z Y RECEIPT NO.: oI t 3 2 ST. LUCIE COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING & ZONING 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 561-462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: L( F I S 5 LL S 2. DETAILED DESCRIPTIONS OF PROJECT REVISIONS: Abl') 4R, 13. CONTRACTOR INFORMATION: ST. OF FL REG./CERT# BUSINESS NAME: Qualifiers Name: ADDRESS: CITY: PHONE (DAYTIME): ARCHIT/ENGINF NAME: ADDRESS: CITY: PHONE (DAYTIME): ST. LUCIE COUNTY CERT.#1 &- C o i/ 5_S 7 i= -i P ie� C c e STATE: E= (,a ZIP: —�I Q Gam„ 41— ( 9 7 -J FAX # / 2 •c.*x I.. STATE: �T1 Z `f ^ S' f 9 % FAX#_ ZIP: 3 (*/ f 5 )