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DATE FILED: !
REVISION FEE:
PERMIT # 100';� — 01 93
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
SCANNED 2300 VIRGINIA AVENUE m)
BY FORT PIERCE, FL 34982-5652 � V
't Lucie Cnllnty (772) 462-1553
APPLICATION FOR BUILDING PER
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
i3�� S OC�J�/L llS
DETAILED DESCRIPTION OF PROJECT
REVISIONS: GAwa� N
pl r ✓l�'S '�
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: Gb G I S D i
BUSINESS NAME: —lFjgSoq
QUALIFIERS NAME: A4(C fhaj!:L
ADDRESS: /-Iy,) rP-7;�z
CITY: SWAT4— STATE:
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
NAME:
CITY: -
PHONE(DA
4
INFORMATION:
ST. LUCIE CO CERT. #:
_ ZIP: 3 Lf "l �i
FAX: 67 --qly y
TE: C-l� ZIP:
FAX:
NAME: 5V&[COA'5I' %17aM/1V4i4 ALPA/FDZ/A4o 1/�
ADDRESS:
CITY: G1�i�p�j�-yam STATE: ZIP: 7160
PHONE (DAYTIME): 5-7 Z'49C0a FAX:
7
SLCCC: 9123109
Revised 06130117 JUL 2 3 2018
Permitting Department
St. Lucie County, FL