HomeMy WebLinkAboutREVISION - BUILDING PERMITi
OFFICE 1USE ONLY: c,
DATE FILED: �z^'
REVISION FEE: (�
FEB 121019
Permittinp Department
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PERMIT # I D I ® - cy-o o
RECEIPT #
4
PLANNING & DEVELOPMENT SERVICES
RECEIVED BUILDING & CODE REGULATION DIVISION SCANNED
2300 VIRGINIA AVENUE
FORT PIERCE FL 349E32.56 - BY
(772) 462.1553�
APPLICATION FOR BUILDING PE
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
;QUALIFIERS NAME:
ADDRESS: k6l,o
CITY: ( 5 _L . S A : �
'HONE (DAYTIME):A-1L %Alci
OWNER/RUILDER INFORMATION:
NAME: L P, Ch-1 1:R 1-0-3 A
ADDRESS: 52E vd-kA, j,W L•i
CITY: �S_ STATE: `
PHONE (DAYTIME:-)") L
ARCMTECT/ENGINEER INFORMATION:
NAME: � `S\ Q, . V A 1 P'(1.*
ADDRESS: 19 �-. FLE W &rnm�kp
ST. LUCIE CO CERT. #:
FAX: 9 G 5- n 1-CC
ZIP: S `y
FAX: -1'1 L L/G T, C 2G 1
CITY: 915S.. . " STATE: U ZIP:
PHONE (DAYTIME): S - jj — ? S K2 FAX:
SLCCC: 9123109
Revised 06130/17