HomeMy WebLinkAboutREVISION BUILDING PERMIT0b" . .
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OFFICE USE ONLY.
DATE FILED:
REVISION FEE: l s - O Q7
PERMIT # ( - ` C) L
RECEIPT #
PLANNING & DEVELOPMENT SERVICES SCANNED
BUILDING & CODE REGULATION DIVISION BY
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652 St. Lucie County
(772) 462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS: _
7LiiIIAYQ�� �� 9J1_ kL a39Q&Q
DETAILED DESCRIPTION OF PROJECT
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME: PM\-,
QUALIFIERS NAME: J
ADDRESS:
CITY: Q 5 L STATE:
PHONE (DAYTIME): -7-7a-. • Crl 13
OWNER/BUILDER INFORMATION:
NAME:
CITY: V-) L_
PHONE (DAYTIME:
ARCHITECT/ENGINEER INFORMATION:
NAME: IY 1
ADDRESS:
CITY: -F t.
PHONE (D,
ST. LUCIE CO CERT. #:
MEW
ZIP:
09
Revised 06130117 -Ey > /.