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REVISION - BUILDING PERMIT
OFFICE USE ONLY: DATE FILED: I�N6 REVISION FEE: LOCATION/SITE ADDRESS: I PERMIT# 19Vy-75-2r RECEIPT# /V/a,�' EVELOPMENT SERVICES 1DE REGULATION DIVISION 2300 VIRGINIA AVENUE RT PIERCE, FL 34982.5652 V72) 462-1553 FOR BUILDING PERMIT REVISIONS CT INFORMATION DETAILED DESCRIPTION OF PROJECT REVISIONS: Fd ✓i g� bAzrye rd Al ?>Rxx-r c - lxew- CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: I ST. LUCIE I BUSINESS NAME: it 6�rwc-l- -0n/571WCi2rau-� QUALIFIERS NAME: 5441r S OE M, ADDRESS: 17 & 0 (yoE� i%ElL CITY:, P;-encE- STATE: rL ZIP: PHONE (DAYTIME): 77 L ;p:; 3 FAX: OWNER/BUII,DER INFORMATION: NAME: CITY: PHONE (DAYTIME: STATE: ARCS ITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130/17 STATE: ram: RECEMD DEC 0 5 2019 Permitting Department St. Lucie County CERT. #: _ Z 40 40 ZIP: ZIP: