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REVISIONS - BUILDING PERMIT
�u a,R- OFFICE USE ONLY: DATE FILED: aI REVISION FEE: 1� •�� LOCATION/SITE ADDRESS: PERNW# RECEIPT# 1597a� PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DMSION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982.5652 (772) 462.1553 APPLICATION FOR BUILDING PERMIT PROJECT INFORMATION DETAILED DESCRIPTION OF PROJECT REVMONS- _ CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESSNAME: Pcin sh- Luat QUALIFIERS NAME: ADDRESS: p1 0 1;sw mw tt! CITY: STATE: PHONE (DAYTIME): ZZ U Q. -C�B Co OWNER/BUILDER INFORMATION: NAME: ARCS ITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): STATE: JAN 212020 ST. Lucie County, Permitting ST. LUCIE CO CERT. #: FAX: I�TiSi� ZIP: SLCCC:9/23/09 Revised 06130117 EN 1 4 . .... 1" N FILE COPY /9o/ - FILE COPY OFFICE USE ONLY: DATE FILED: -� REVISION FEE: ris •00 LOCATION/SITE ADDRESS: PERMIT# 1901-05 RECEIPT # 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: , CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: ST. LUCIE CO CERT. #: BUSINESS NAME: P5�-�I n Pe�TIeSy�L QUALIFIERS NAME:1�0g)y%Ig 1Mcn,�1j0 ADDRESS: 9-110 1 S vwyVvn c P.i 1 V\ CITY: p�� STATE: F ' ZIP: 3'(4S 3 PHONE (DAYTIME): -771-Ay4-ooQ,([� FAX: OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: STATE: PHONE (DAYTIME: FAX: ARCHITECT/ENGINEER INFORMATION: ADDRESS: CITY: PHONE (DAYTIME): STATE: SLCCC: 9123109 Revised 06130117 EV 0 S' ZIP: ZIP: