HomeMy WebLinkAboutREVISION - BUILDING PERMITOFFICE USE ONLY: 2 �j
DATE FILED: ' _ 3 l /
REVISION FEE: 15oo
LOCATION/SITE
ADDRESS:
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PERMIT# R/l ob & /
/
RECEIPT# 1. 57 2 S2
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
(772) 462.1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
RECEIVED
JUN 0 3 2019
ST. Lucie County, Permitting
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
OWNER/BUILDER INFORMATION:
NAME: Ali ..-,_ iv S 5, r
CITY: P---, e-"Pr
PHONE (DAYTIME:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
ST. LUCIE CO CERT. 9:
FAX:
FAX:
N Ali:
ZIP:
ZIP:
SLCCC.• 9123109
Revised 06130117 REEVAISION