HomeMy WebLinkAboutREVISION BUILDING PERMIT - 4-7-06i
DATE FILED: --2-- c:a PERMIT #:
gx:V' ISION FEE: Oa RECEIPT #
ST. LUCIE COUNTY,
DEPARTMENT OF COMMUNITY DE
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UII.DING � ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FLORIDA 34982
772-462-I553
APPLICATION FOR BUILDING
PROJECT INFORMATION
LOCATION/SITE
2. DETAILED DESCRIPTIONS OF PROJECT
IREVISIONS:
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3. CONTRACTOR INFORMATION:
jST. OF FL REG/CERT #: ST. LUCIE COUNTY CERT #:�
. BUSINESS NAME: cz
QUALIFIERS NAME:
ADDRESS:
CITY: l a STATE ZIP: —�-5q 1tj
PRONE (DAYTIME): AX #
'~ 4. ARCHIT/ENGINEER:
p. NAME: Gi*'
ADDRESS:
CITY: STATE — zip:
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PHONE (DAYTIME): —ram 5 FAX# ' % -- Q '2:-7 .—.1
1 2/19/02