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PERMIT # 70 — 6) 6-
RECEIPT # 0
PLANNING & DEVELOPMENT SE
BUILDING & CODE REGULATION D4
2300 VIRGINIA AVENUE
RECENEp FORT PIERCE, FL 349 i-`6
1020 (772) 462-1553=� .
Department APPLICATION FOR BUILDING PERMI
Permttt�uc ounty PROJECT INFORMATION
I st,
LOCATION/SITE
ADDRESS: (
DETAILED DESCRIPTION OF PROJECT
REVISION, :
INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME -
ADDRESS:
CITY:
STATE:
FIONE (DAYTIME):
WNER/BUILDER INFORMATION:
AME: pre 1 r71
ADL)Kt;J�i: L��-L—, Or- t.
CITY:
o �, STATE:
PHONE (DAYTIME: -l:-i - ,4�9- - 0,S—wl
ARCHITECT/ENGINEER INFORMATION:
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NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME):
4CCC: 9123109
Revised 06130/17
ST. LUCIE CO CERT. #:
ZIP:
FAX:
ZIP:
FAX:
11AA:
ZIP:
SCANNED
BY
St Lucie County