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Home My WebLink AboutREVISION - BUILDING PERMITOFFICE USE ONLY: DATE FILED: REVISION FEE: S. C PERMIT # RECEIPT # S% PLANNING & DEVELOPMENT SEP BUILDING & CODE REGULATION DP 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 FAX (772) 462-1578 APPLICATION FOR BUILDING PROJECT INFORM, MAY 17 2019 epartment )unty, FL 1. LOCATION/SITE 1 ADDRESS: Ir.r Q_tL1 j� �-kY (.c CAP C� CAS � � V, 1 FA 0 4. DETAILED DESCRIPTION OF PROJECT CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: ST. LUCIE BUSINESS NAME: QUALIFIERS NAME:. �l ADDRESS: H CITY: STATE: _ PHONE (DAYTIME): FAX: _ OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE: 5. ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE(DAY7 Revised 0722/2014 CERT. #: STATE: ZIP: FAX: REVISION V .4