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2300 VIRGINIA AVENUE: .
FORT PIERCE, FL 34982-566
(772)462.1553
APPLICATION FOR BUILDING PERMIT
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PLANNING & DEVELOPMENT SERVICES SCANNED
BUILDING & CODE REGULATION DIVISION BY
2300 VIRGINIA AVENUE St. Lucie County
FORT P-IERCE,EL34982.5652
V72) 462-1553
APPLICATION FOR BUILDING PERMRR J I S I O
PROJECT INFORMATION
ADDRESS: 7 73
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DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: (:,A
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: -1c
PHONE (DAYTIME): %%1 2
OWNER/BUILDER INFORMATION:
ARCHITECT/ENGINEER INFORMATION:
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ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130/17
STATE:
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FILE COPY
ST. LUCIE CO CERT. #:
ZIP:
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ZIP:
RPECEIVED
DEC - 9 2019
Permitting Department
St. Lucie County, FL