HomeMy WebLinkAboutREVISION 1RECENE®
OFFICE USE ONLY: fj
DATE FILED: Z- W 1 ` PERMIT„54) MAR 2 0 2017
REVISION FEE: RECEIPT # 1 NPERMITTING
County, FL
PLANNING & DEVELOPMENT SERVICES �iuHIV/y�G
BUILDING&CODE REGULATIONDIVISION
e . 2300 VIRGINIA AVENUE {{ BV
FORTPIERCF,FL34982-5652 S[.
CMU462-1553 FAX(772)462.1578 �UCIe
APPLICATION FOR BUILDING PERMIT REVISIONS C�Unfl
PROJECT INFORMATION
LOCATIOI• ADDRESS: SCCE /�6'C UN."71 3 S, V . I
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DETAILED DESCRIPTION OF PROJECT
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CONTRACTOR ORMATION: �.Pj,M, 6�1%11;1164/Q V it M2j N7/�,{�.jL,il��,,
STATE of FL REGJCERT. #: ST-.. LUCIE couNty CERT. #. T
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
OWNERMUILDER INFORMATION:
NAME:
ADDRESS:
STATE:
FAX:
ZIP:
CITY: STATE: ZIP:
PHONE: FAX:
NAME:
ADDRESS:
CITY:
e isd 07/=013
INFORMATION:
377 mid
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REVISION