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HomeMy WebLinkAboutREVISION 1OFFICE USE ONr O�HNNED ONLY DATE FILED: \ " Lucie REVISION FEE: County PERMIT # RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING &CODE RE 3� ION2300 VIRGI � 'v` FORT PIERCE, (772) 462-1553 F (7 - 57 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION I. ADDRE SNlSITE 3 / �/7�%I w�i / / / ��CC 1- L 2. 4. DETAILED DESCRIPTION OF PROJECT REVISIONS: CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CBC Oleo BUSINESS NAME: '( QUALIFIERS NAME: ADDRESS: -el / 0 (2a n CITY:. G7- 9,�rrp PHONE (DAYTIME): ?72 d8z`�3s OVMR/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE: ST. LUCIE COUNTY CERT. #: FAX: ARCHITECT/ENGINEER INFORMATION: NAME: !�// �� &,)eki ADDRESS: TuG/�^/ e7ou,-f' CITY: Vl74e STATE: PHONE (DAYTIME): 416 Z- z-V Revised 07222014 C FAX: ZIP: Wo