HomeMy WebLinkAboutREVISION - BUILDING PERMITLo+ & �8
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DATE FILED: ,l0- l�
REVISION FEE:
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PERMIT # I p �v' ^ ®to-7 I
RECEIPT # too
PLANNING & DEVELOPMENT SERVICES SCANNED
BUILDING & CODE REGULATION DIVISION 13Y
2300 VIRGINIA AVENUE St Lucie County
FORT PIERCE, FL 34982-5652
(772) 462-1553
APPLICATION FOR BUILDING PERMI R I N
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PROJECT INFORMATION
LOCATION/SITE
ADDRESS: RLE Covw
�33� �G. i�-I Q� LU-lc�. U'�s-(✓i� , �- oY-� �re rc.e.,� �- 3 r{� s �
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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i CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS: 14,r)03�6A we M(kr , ?,-,\vd
CITY: 6�eS� Pcq rn PopeO, Ch STATE: (-= t--
PHONE (DAYTIME): s(ol -" - -1 015 0
, OWNER/BUILDER INFORMATION:
ST. LUCIE CO CERT. #:
r ��S
ZIP: 3 a)4w
FAX:
NAME: N V R nc— D I51� Qv\ t-k yLeS
ADDRESS: A `� �a O n -�p0.t l� e--)\ V
CITY: w Q S�,- P C, l W1 STATE: Ft
PHONE (DAYTIME: Glp(- B 1 g- 1 0( S O FAX: _
, ARCHITECT/ENGINEER INFORMATION:
NAME:
'ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130/17
STATE:
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ZIP: , -:5 5 `C O 1
DEC 1 :Q 2018
Permitting Department
St. Lucie County, FL