HomeMy WebLinkAboutREVISION - BUILDING PERMITDec 28 18,01:1 7p St Lucie Roofing _ CIFh(x 77 R 077354 R�cp.1
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RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652 SC
, (772) 462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS ey FO
PROJECT INFORMATION Perryi COG
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DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REWCERT
BUSINESS NAME: S
QUALIFIERS NAME: t r r
ADDRESS: S63 '!,,Du rrri
CITY: b4 S} WC- .c- STAT]
PHONE (DAYTIME): rl r );--:;14,4 _ r
OWNER/BUILDER INFORMATION:
CITY:
PHONE (DAYTIME:
ARCIIITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTM E):
SLCCC: 9123109
Revised 06130117
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W-1110
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