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REVISION - BUILDING PERMIT
04/03/2007 02: 37 7724625267 ST LUCIE CO PAGGA i01 OFFICE USE ONLY: ���.' I DATE FILED: ' I ° R.EYISION FEE: PERMIT NUMBER: • ©%bS -b z_Z( RECEIPT NO.: COUNTYST. LUCIE DEPARTMENTOF COMMUNITY DEVELOPMEN • VIRGINIA AVENUE PIERCE, FL • 6 01 FOR BUILDING PERTMIT REVISIONS l � �ij': �` �"'' °�.s{, '� Y'iej Ta '•� ii + �'tt ° a PROJECT I�;bRMATIbN FILE C�& y 'I. LOCATION!SITE up ADDRESS: PL.�V� ?. DETAILED DESCRIPTIONS OF PROJECT ° REVISIONS: o new_ o A res 5 zcu,e. Qinc� n 1�•�SC'F� � m.S_ 3. CO`TPLACTOR ItiFORMaTION: 4. ST. OF FL UGJCEP.TM �toSt'rESS �A_tiIE: , Qualilters lame: ADDRESS. CITY: PHONE (DAYTIME): .AR.CHITIEtiOINEER. NAME: ADDRESS: CITY: P14ONE (DAY-fVYIE): ST. LUCIE EO.I`TY CERT.!i ' sr c STATE:..rt�_._ ZIP:3�99_(<L- OFFICE USE ONLY: - DATE FILED:_ PERMIT NUMBER: 6 Ines�-� f REVISION FEE. RECEIPT NO.: n ST. LUCIE COUNTY DEPARTMENT OF COMiMUNITY DEVELOPMEi`I T BUILDING & ZONING 2300 VIRGINIA AVENIUMNA- I. 2 FORT PIERCE, FL 34982- .462-1553 APPLICATION FOR BUILDING PROJECT INFORINIATION wr LOCATION!SITE. ADDRESS: 'zI7-6 2 A&,)'et/v\ DR!y DETAILED DESCRIPTIONS OF PROJECT REVISIONS: / s-7.4? d- Q n 1D JrZ' U nA i 3. CONTRACTOR INFORtiIATIO\: ST..OF FL REG./CERT# C6e / -e iJ �' 'ST. LCCIE COUNTY CERT.!! BUSINESS N :NIE: A L Qualifiers.Name: AL n _ ADDRESS: 'Z6 ;!Cg IJ CITY: ��- S, / STATE: J= L. , ZIP: PHONE (DAYTIME): � �"TI}IE): _7 9' i a^2� �FAY 4. ARQHIT/EL GINEER: ADDRESS: — CITY: STATE: F ZIP: PHONE (DAYTIME): FA,X#_ 77-6-- 3