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Home My WebLink AboutREVISION - BUILDING PERMIT 2-21-19USE ONLY: DATE FILED: REVISION FEE: - LOCATION/SITE ADDRESS: PERMIT # -(¢UC D -- Dig °o r RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DMSION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982.5652 (772) 462.1553 APPLICATION FOR BUILDING PERMIT'REVISIONS PROJECT INFORMATION L DETAILED DESCRIPTION OF PROJECT REVISIONS: /nQ(S CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: At- I - ST. LUCIE CO CERT. #: QUALIFIERS NAME: 1 c,'N r 2, l%G� +:e -f ADDRESS: CITY: ,? d-I �7C('3 03 (01 STATE: (e'L ZIP: PHONE (DAYTIME). FAX: OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME: STATE: ARCMTECT/ENGINEER INFORMATION: NAME: I ADDRESS: ' PHONE I Revised 0613 0/17 HDN r 3