HomeMy WebLinkAboutREVISION - BUILDING PERMITOFFICE USE ONLY:
DATE FILED: S 'p • Zp
REVISION FEE: \P
PERMIT# I"I 09-4 Z
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652 RECEIVED
(772) 462.1553 -
MAR 0 5 2020
APPLICATION FOR BUILDING PERMIT DEFER Lucie county, Permitting
PROJECT INFORMATION
LOCATION/SITE SCANNED
ADDRESS: BY
St. Lucie County
DETAILED DESCRIPTION OF PROJECT
REVISIONS: I
CONTRACTOR INFORMATION:
STATE of.FL REGJCERT
BUSINESS NAME: _
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
OWNER/BUILDER INFORMATION:
NAME: L,) '� 1. f _ j3�. , / al . & J eQ
ST. LUCIE CO CERT. #:
FAX:
PHONE (DAYTIME: 7 7 2 2� /— S Y Y 3 FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME: _
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 07/17118
STATE:
FAX:
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