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DATE FILED: 15 \ 1
REVISION FEE: ,3
LOCATION/SITE
ADDRESS:
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PERMIT # O I
RECEIPT # 191491
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
OWNER/BUILDER INFORMATION:
NAME
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ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
RECEIVED
MAR 15 20119
Cie County, Permitting
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PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772) 462.1553
APPLICATION FOR BUILDING PERMITEIK73 mowl C II'
PROJECT INFORMATION Kh
LOCATION/SITE
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DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
1 OWNERMUILDER INFORMATION:
NAME: S Pea
ST. LUCIE CO CERT. #:
FAX:
1 ADDRESS:
CITY: STAT
PHONE (DAYTIME: -7 7dC-J�4 -006 (Q FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06/30/17
STATE:
ZIP:
ZIP:
ZIP:
RECEIVE®'
JAN 2 4 2019
Permitting Department
St. Lucie County, FL