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HomeMy WebLinkAboutREVISION - BUILDING PERMITJd� FFICE USE ONLY: 'DATE FILED: \ FILE COPY REVISION FEE: _I 5 • O O RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE ^ FORT PIERCE, FL 34982-6652 I (772) 4624653 APPLICATION FOR BUILDING PERMIT REVI IONS AIR PROJECT INFORMATION ST. Lode County, perm LOCATION/SITE DETAILED DESCRIPTION OF PROJECT BY REVISIONS: SL LUCIQ COUnty rEVi6e0l Nomlk 4-"ru db01i +o roll 1412 0100r CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: COC 12 5101CIS BUSINESSNAME: CAlZP6tZtS ayltIl QUALIFIERS NAME: T rY12cS P Lo1VtVJ CITY: V Ke- STATE: PHONE (DAYTIME): 352-4 - OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME: ST. LUCIE CO CERT. #: ZIP: FAX: STATE: ZIP: FAX: ARCHITECT/ENGINEER INFORMATION: NAME: -Ruri ADDRESS: '1�p CITY: Por•F- Chow PHONE (DAYTIME): SLCCC: 9123109 Revised 06/30/17 F4 3�f8o STATE: ZIP: FAX: �l�l�I.l>7lrl.��l