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Home My WebLink AboutREVISION - 9-10-19 BUILDING PERMIT' OFFICEI USE ONLY: SATE FILED: REVISION FEE: LOCATION/SITE 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 PROJECT INFORMATION j DETAILED DESCRIPTION OF PROJECT REVISIONS: . _ /"\ CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: ST. LUCIE CO CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): FAX: OWNER/BUILDER INFORMATION: NAME: a \ � n ['6wSDk) , ♦ TTTT[1 Ll_4,z7k r1 .A I - - - I A ._-A. .A A i. ' CITY: - STATE: PHONE (DAYTIME: ARCHITECT/ENGINEER INFORMATION: NAME: fU 3 . ADDRESS: CITY: PHONE (DAYTIME): STATE: FAX: ZIP: ZIP: C°00 NJ - SLCCC: 9123109 File, COPS' Revised 06130/17