HomeMy WebLinkAboutREVISION - BUILDING PERMIT1--)\N1 %A WN
OFFICE USE ONLY:
DATE FILED:
REVISION FEE: 1 <P' �3
PERMIT # t0M 10{ 0 / - ()1414
RECEIPT# I5'2164
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION SCANNED
2300 VIRGINIA AVENUE �v
FORT PIERCE, FL 34962.5652
(772) 4624553 St. Lucie County
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS: i N W 7 4.
'f '_ _ _ Repzce
DETAILED DESCRIPTION OF PROJECT
REVISIONS: i i A ..
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS: -
CITY: W P -R;-
OWNER/BUILDER INFORMATION:
ST. LUCIE CO CERT. #:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME:
INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
1�va"
SLCCC: 9123109
Revised 06/30/17 RFVI'Omk&
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