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HomeMy WebLinkAboutREVISION 1OFFICES USE ONLt5�zak, / G DATE FILED: I PERMIT # 16D 0 — ©/ 3 REVISION FEE: RECEIPT # SCANNED PLANNING & DEVELOPMENT SERVICES BY BUILDING & CODE REGULATION DIVISION St. Lucie Countv 2300 VIRGINIA A72 FORTPIERCE, FL(772) 462-1553 FAX �� _ APPLICATION FOR BUILDING PE10 PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: 4878 N Kings Hwy 2. DETAILED DESCRIPTION OF PROJECT REVISIONS: 3.- CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: 5701 Holly CITY: IToI y—woo PHONE (DAYTIME): V34-9 CGCO06271 ST. LUCIE COUNTY CERT. #: I'luaUM Ouirders Inc. Robert Nunno STATE: FAX: ZIP: 4. OWNER/BUILDER INFORMATION: NAME: McDonalds USA LLC ADDRESS: 10150 Highland Manor Drive, #470 CITY: STATE: FT. ZIP: nm n PHONE: FAX: 5. ARCHITECT/ENGINEER INFORMATION: NAME: Sevan Multi Site Solutions ADDRESS: 1741 Pennan Place CITY: St Johns STATE: FT, ZIP: 32259 PHONE (DAYTIME): 904_615_R 144 FAX: Revised 07IM014