HomeMy WebLinkAboutREVISION (1)OFFICE USE ONLY: �!
DATE FILED: ���}}`.p/ '
REVISION FEE: d/ 7s
SCANNED
BY
St. Lucie County
LOCATION/SITE
ADDRESS: . . .
PERMIT#5LC -
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
RUELDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34682.5652
(772)462.1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: j/ ��
BUSINESSNAME: 14za f-/w /14fVhi G
QUALIFIERS NAME: 1,4 ZA-tU 179 g-
ADDRESS: 3 --(0 3 a C '
CITY: F-t O e.- c STATE:
PHONE AYTIME):
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME:
F.
RECEIVED
APR 2 2 2020
Permitting Department
St. LUde County
LUCIE CO CERT. #: 'dav 2Y3 7/
OR
STATE: ZIP:
FAX: -
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
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SLCCC I.
Revised 0613011R E 7 \.
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