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REVISION - BUILDING PERMIT
NY,, �IQ.-') OFFICE USE ONLY: DATE FILED: 5 °�� , I l REVISION FEE: 16 - i 3 PERMIT # 6 ` O q ©y �( 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 LOCATION/SITE ADDRESS: ' / (2 AY DETAILED DESCRIPTION OF PROJECT CONTRACTOR INFORMATION: i01F Gp&-e STATE of FL REG./CERT. #: C& L 1 SeD 76 7 BUSINESS NAME: C Ce:5 n/S QUALIFIERS NAME: hk ADDRESS: /? %�? 5.2- e CITY: —� p ��� STATE: �L PHONE (DAYTIME): �� 3G O - 9P- OWNER/BUILDER INFORMATION: RrAkfil CITY: PHONE (DAYTIME: STATE: ARCIHTECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): STATE: SCANNED BY St. Lucie County ST. LUCIE CO CERT. #: FAX: I r� W." ZIP: ZIP: ZIP: w� 09 Revised 06130117 REVISIUN ILE" PY F I . OFFICE USE ONLY: DATE FILED: REVISION FEE: 15 a O SCANNED BY St. Lucie County PERMIT # / J B ( 60 5 g RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE RECEIVED FORT PIERCE, FL 34982.5652 (772)462.1553 JUL 19 7019 APPLICATION FOR BUILDING PERMIT REVISIC NS PROJECT INFORMATION ST.. 6esie county, Permitting LOCATION/SITE ADDRESS: // hl" ` u DETAILED DESCRIPTION OF PROJECT REVISIONS: rVC- CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: 6- crr: BUSINESS NAME: lx 4 A na i,,T QUALIFIERS NAME: A &7 a 1A ADDRESS: I g !(� CITY: & ,gq-G,c- STATE: PHONED TIME): >'77 - 3c.q. 5?r� . OWNERBUILDER INFORMATION: NAME: CITY: PHONE (DAYTIME: ST. LUCIE CO CERT. #: ZIP: 3 =L-C;jl G a FAX: Sr STATE: ZIP: FAX: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): STATE: ZIP: FAX: