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REVISION - BUILDING PERMIT
OFFI( � USE 7a, DATE ILED-Ali1� REVIS�ON FEE: C%51 FILE COPY PERMIT # L RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE =FE82 FORT PIERCE, FL 34982.5652 (772) 462.1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION LOCATION/SITE ADDRESS: ��G O�j N 5T. Fi . Pica. (1A n • U DETAILED DESCRIPTION OF PROJECT "TX 7TOTl%1&TO. CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: 'Alp ( O BUSINESS NAME: TILE CORD QUALIFIERS NAME: O&AR Fiwzlwl ADDRESS: 31&0 TURrLE C,Oi CITY: VN STATE: F PHONE (DAYTIME): 15100548 OWNERMUILDER INFORMATION: NAME: K'/A ADDRESS: CITY: STATE: PHONE (DAYTIME: ARCHITECT/ENGINEER INFORMATION: NAME: r i ADDRESS: 1019 CITY: rL "JGA PHONE (DAYTIME): SLCCC: 9123109 Revised 06130117 ST. LUCIE CO CERT. #: ZIP: FAX: FAX: FAX: ZIP: r � � �_ 4' 1 d.