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Home My WebLink AboutREVISION - 8-28-19 BUILDING PERMITi -OFFICE USE ONLY: Q " DATE J ILED: U REVISION FEE: 7 , • c L PERMIT # ©I V T r RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982EL - (772) 462.1553 APPLICATION FOR BUILDING PERM R S PROJECT INFORMATION LOCATION/SITE CANP -r DETAILED DESCRIPTION OF PROJECT i CONTRACTOR INFORMATION: i STATE of FL REG./CERT. #: ST. LUCIE CO CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): FAX: OWNER/BUILDER INFORMATION: NAME: AlilixLNN: M 11r CITY: ! - f . STATE: PHONE (DAYTIME: FAX: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130/17 STATE: -- FAX: AUG 282019 Permitting Department St. Lucie County, FL ZIP: ZIP: 'ale COPY L.