HomeMy WebLinkAboutREVISION - BUILDING PERMITFILE CQPY
OFFICE USE ONLY:
DATE FILED:
REVISION FEE:
!RECEIVED
NO�V* 2 71018
Permitting Department
St IL a
. ucle County
TION/SITE
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RECEIPT #
PLANNING & DEVELOPMENT
BUILDING & CODE REGULATION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5(
(772) 462.1553
APPLICATION FOR BUILDING PE
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
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MA,
SCANNED
St Lucie County
No A IT .offal .ate
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: ST. LUCIE CO CERT. #: 30
BUSINESS NAME: -MfAyto em%%ACA&a
QUALIFIERS NAME: Vj 'Fe r ty P,&Ar 2
ADDRESS: 5.b 01 V W i5 R % te.& -A—AoL
CITY: *m..'mwa %mclou STATE: F1. ZIP: 'j,% 1p 14
PHONE (DAYTI: ] IG FAX:
I
OWNER/BUILDER INFORMATION:
NAME: JAPtZgL
ADDRE S: -1 -6 0 b
CITY: Xc 4 -S4 j
PHONE (DAYTIME:
STATE: P L ZIP:
ti FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
#CCC. 9123109
Revised 06130117
STATE:
"110
ZIP: