HomeMy WebLinkAboutREVISION 12-11-18� � t
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OFFICE TUSE ONLY: 1
DATE T ED: /
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REVISION FEE: 5 d
PERMIT# / RDO —
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE oaf
FORT PIERCE, FL 34962.5652
(772) 462.1553 p °yid
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS: S�96 ` 2re- o a
DETAILED DESCRIPTION OF PROJECT � REVISIONS: AO` / .` . - 7
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: 61
BUSINESS NAME: , 1r v�
QUALIFIERS NAME: `'.
ADDRESS: 0-O '
CITY: V j-o Be STATE: 4= 4-
PHONE (DAYTIME): 77Z ~ K757L S/ 79 -7
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ST. LUCIE CO CERT. #:
ZIP: .S e y1
FAX: 7 71- - - 7F- s''S--7s—
OWNER/BUILDER INFORMATION:
NAME: �/' c° 091t./ c Z) cic
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME: -7 72-- Z /4 - 6 Z V6 FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
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S-y, Lucie Count
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F`DOH in St. Lucie County
Environmental Health
Site Plan Approved for Construction
Supersedes All -Previous Site Plans for
OSTDS # 5G-sF-1%1ssi & Wel I # 59, 2 gG 3
Date: alc if fs
Reviewer:_�....r
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