HomeMy WebLinkAboutREVISION - BUILDING PERMIT - 1-26-19OFFICE USE ONLY:
DATE FILED: k la-51 Lc)
REVISION FEE:— -v; 7,5'
FIL I
PERMIT# E CC"Y
RECEIPT #
PLANNING& DEVELOPMENT SER
BUILDING & CODE REGULATION DI" 1.
RECEIVED
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-565
JAN 15 2019
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(772) 462-1553
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Permitting Department per
St t Lucie Count APPLICATION FOR BUILDING PLKMl I I
, PI
PROJECT INFORMATION ""IE
03
LOCATION/SITE
ADDRESS:
ZgkK-- A=-
13YDETAILED DESCRIPTION OF PROJECT st LU
'REVISIONS: Cie County
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME):
I
OWNER/BUILDER INFORMATION:
ST. LUCIE CO CERT. #:
FAX:
ZIP:
NAME: raa( Oeem -e L,4 He
ADDRESS: IQl aaee)j ehpekeiir/L�
CITY: STATE: ZIP:
PHONE (DAYTIME: �7 —4V2 7ScP'!� FAX:
ARCHITECT/ENGINEER INFORMATION:
XDDusg: ' M6,- AeLdapwee- Ave-,
CITY: E'-� �-' /:-� e- & e e- ST
PHONE (DAYTIME): 17172 — Ll&j)
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SLCCC: 9123109
Revised 06130117