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PERMIT # � — OW3�
RECEIPT # I y U 4v7
PLANNING & DEVELOPMENT SERVICES — RECEIVED
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 N 0 V p 2 2018
(772) 462-1553 FAX (772) 462-1578
APPLICATION FOR BUILDING PERMIT REVIS460--county,
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: LIC
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QUALIFURS NAME:
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CITY:
PHONE (DAYTIM ): -
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
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PA C1 0 ST. LUCIE COUNTY CERT. #:
ARCHITECT/ENGINEER INFORMATION:
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PHONE (DAYTIME):
Revised 07/22/2014
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