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HomeMy WebLinkAboutREVISION - BUILDING PERMITUSE ONLY: DATE TILED: 1� Inc REVISION FEE: 1,T5 LOCATION/SITE ADDRESS: PERMIT# I RECEIPT # SCANNED PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION I . . . . . . . F7 2300 VIRGINIA AVENFw FORT PIERCE, FL 3498 4 (772)46.2-1553 .5. APPLICATION FOR BUILDING PE�,,fil It /ISI PROJECT INFORMATION DETAILED DESCRIPTION OF PROJECT REVISIONS: ,�_ CONTRACTOR INFORMATION: c,C-C, L -3, 7J& W� STATE of FL REG./CERT. #: BUSINESS NAME: 'Plnr)0LCLe_a.QQRkjq, W QUALIFIERS NAME: ADDRESS: CITY: -STATE: PHONE (DAYTIME): 3lq- 2-73 5 OWNER/IlUdDER INFORMATION: ST. LUCIE CO CERT. #: — I L'Q_- FAX: ZIP: NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME: FAX: ARCHITECT/ENGINEER INFORMATION: NAME:' ADDRESS: CITY: PHONE (DAYTIME): SLCCC.- 9123109 Revised 06130117 STATE: FAX: ZIP: St Lucie County