HomeMy WebLinkAboutREVISION - BUILDING PERMIT - CHANGE CODE GARGE DOORi
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OFFICE USE ONLY:
DATE FILED:
REVISION FE
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PERMIT # �� _ cso 3
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2390 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553 s
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOC%,ATION/SITE 0y
ADDRESS: CA
DETAILED DESCRIPTION OF PROJECT
RE-�,ISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:�
BU�INESS NAME: uc-Avr� e
QUALIFIERS NAME: Ail 1
ADDRESS: 34iq CAJ. 4vr x
CITY: U STATE:
PHONE AYT ):17
OWNER/BUILDER INFORMATION:
(DAYTIME:
ST. LUCIE CO CERT. #:
ZIP: 3 3 O
FAX:
STATE: ZIP:
FAX:
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ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME):
FAX:
ZIP:
Revised 06130117
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