HomeMy WebLinkAboutREVISION - 1-7-19 BUILDING PERMITs
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OFFICE U
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DATE FILE.
PERMIT #
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772) 462.1553
APPLICATION FOR BUILDING PERMIT REVISIONS
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PROJECT INFORMATION
j LOCATION/SITE
ADDRESS:
i DETAILED DESCRIPTION OF PROJECT
'CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: r 13C
BUSINESS NAME: 4"rou Oke -
,QUALIFIERS NAME: � x -p _ E,
I%-' 11: STATE:
I PHONE (DAYTIME): 1-7 2 - 3 70 • ��
IOWNER/BUILDER. INFORMATION:
NAME: �i f
ADDRESS:
CITY:
PHONE (DAYTIME:
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STATE:
NAME*,axU-eL'-UECT/E11GINEER INFORMATION:
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FAX:
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