HomeMy WebLinkAboutREVISION - BUILDING PERMIT 4-26-19DATE
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PERMIT # N 0 °I — 0 L O 9
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PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE, FL 34982-5652
(772) 462.1553
APR 26 2019
APPLICATION FOR BUILDING PERMIT REVISIONS .
PROJECT INFORMATION ST• Lucie County, Permitting
LOCATION/SITE
ADDRESS: _
SW li Pa w. •t �10 �-t ��'c.•e �� 3 4 $ 2
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
OWNER/BUILDER INFORMATION:
ST. LUCIE CO CERT. #:
FAX:
NAME: ADDRESS: 5 4 it
CITY: 'V 9 x— ,c_ STATE: Ali
PHONE (DAYTIME: FAX: _
ARCHITECT/ENGINEER INFORMATION:
ZIP.
NAME:
ADDRESS: kq %LA l\4
CITY: %L STATE: FLU
PHONE (DAYTIME): 772 —7 25: C? 06$ Sr; FAX: _
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