HomeMy WebLinkAboutREVISION - BUILDING PERMITOFFICE USE ONLY:
DATE FILED: �' /P? '
REVISION FEE S.o D
LOCATION/SITE
ADDRESS: 67493
PERMIT #
RECEIPT #
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PLANNING & DEVELOPMENT SERVICES SCANNED
BUILDING & CODE REGULATION DIVISION ° B�
2300 VIRGINIA AVENUE St. Lucie County
FORT PIERCE, FL 34982.5652
(772)462.1553
APPLICATION FOR BUILDING PERMIf36VISION
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME
ADDRESS: d
CITY: ::pD
PHONE (DAYTIME): V
OWNER/BUILDER INFORMATION:
NAME:
CITY: ra r,> (
PHONE (DAYTIME: fl ) —
ARCHITECT/ENGINEER INFORMATION:
NAME: S+MVP, L 1_C/L. A I -L
J
ST. LUCIE CO CERT. #: nc>- I
FAX:
AX:
CITY: - ' L STATE: P:''
PHONE (DAYTIME): F.
SLCCC. 9123109
Revised 06130117
ZIP:
FEB 12 2019
Permitting Department
St. Lucie County, FL