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Home My WebLink AboutREVISION - BUILDING PERMIT - 8-2-19. w OFFICE USE ONLY: 1 DATE FILED: REVISION FEE: PERMIT # RECEIPT # r PLANNING & DEVELOPMENT SE BUILDING & CODE REGULATION D SI .,, 2300 VIRGINIA AVENUE. FORT PIERCE, FL 34982- ct� (772) 462-1553 AUS 2 - 2019 APPLICATION FOR BUILDING PE I VISIONS PROJECT INFORMATION .rG LOCATION/SITE ADDRESS: A.A-sl DETAILED DESCRIPTION OF PROJECT Paz* vjz�jjoN VISION : IL CONTRACTOR INFORMATION: STATE of FL REG./CERT. BUSINESS NAME: h QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIME): JlAIL: OWNER/BUILDER INFORMATION: NAME: 5 +- �h 'i�� 'RV-5 FAX: CITY: V0/ Qt L/e t? STATE: 02. PHONE (DAYTIME: S/ fi7�' �_ FAX: _ ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130117 STATE: FAX: L.lY: ZIP: ZIP: