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OFFICE i � E ONLY:
DATE QED: 1 b ' 1 PERMIT # �02 O rl 17
REVISIO FEE: s RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION RECEIVED
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772) 462.1553 C C T 19 Z018
APPLICATION FOR BUILDING PERMIT REVISIO Lucie county, Permitting
PROJECT INFORMATION
rm.c+�-18a8 -0-t 1 � SCANNED
kTION/SITE By
65
AILED DESCRIPTION OF PROJECT
)NTRACTOR INFORMATION:
ATE of FL REG./CERT. #: CCc 13 � (�
JSINESS NAME: -LCQ L..p S S
JALIFIERS NAME: laoro
)DRES Y l
FY: C' Y STATE: Ft
.ONE (DAYTIME):
VNER/BUILDER INFORMATION:
4E (DAYTIME:
STATE:
INFORMATION:
LUCIE CO CERT. #:
g o-m l �
ZIP:
FAX:
FAX:
ZIP:
cs✓�a:
STATE: ZIP:
M (DAYTIlVIE): FAX:
9123109
06130117
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