HomeMy WebLinkAboutREVISIONOFFICE USE ONLY:
DATE FILED: - ow
REVISION FEE: 15110
PERMIT #
RECEIPT # 1 9� 1
PLANNING & DEVELOPMENT SERVICES
SCANNED BUILDING& CODE REGULATION DIVISION RECEIVED
BY 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652 JAN 2 9 2020
St. Lucie County (772)462.1553
Sr. Lucie County, Permitting
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
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DETAILED DESCRIPTION OF PROJECT
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: 4 Ll -? % Zo
BUSINESS NAME: c
QUALIFIERS NAME:
CITY: U. o 64* h STATE: -_�--L
PHONE (DAYTIME): 5b'7 - 7 DL :7
OWNER/BUILDER INFORMATION:
NAME:
CITY: v /-
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130117
STATE:
ST. LUCIE CO CERT. #:
ZIP:
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OFFICE USE ONLY:
DATE FILED: ' -')'_R - �LD
REVISION FEE: 11.10
PERMIT #
RECEIPT # 1 912 I
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
SCANNED FORT PIERCE, FL 34982.5652 RECEIVED
BY (772) 462•1553
JAN 2 9 2020
St. Lucie Countv
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION ST. Lucie County, Permitting
LOCATION/SITE
ADDRESS: l
DETAILED DESCRIPTION OF PROJECT
CONTRACTOR INFORMATION:
STATE of FL REG./CER . #: A'J `i / l z0
BUSINESS NAME: L
QUALIFIERS NAME:
CITY: u. a . fyv*h STATE:
PHONE (DAYTIME): Vo7-3OL V
OWNER/BUILDER INFORMATION:
NAME:
CITY: P I- • (a 4LAA- STATE:
PHONE (DAYTIME:
ARCHITECT/ENGINEER INFORMATION:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
ST. LUCIE CO CERT. #:
FAX:
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ZIP:
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