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HomeMy WebLinkAboutREVISION 1OFFICE USE ONLY: DATE FILED: �ht/ j, REVISION FEE: "!p5pO SCANNED BY St. Lucie CountyPERMIT # RECEIPT # ©oob PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DMSION 'FILE Y FORT PIERCE, F AVENUE C ' FORT PIERCE, FL 34982.5652 (772)462.1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION LOCATION/SITE ADDRESS: 3-2� A so LCA ( ke at e ti% Cc�f DETAILED DESCRIPTION OF PROJECT D V l.rrcrnwQ. CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: Se QUALIFIERS NAME: L ADDRESS: au f (�G o(d DI -)cc CITY: I/e(o aea STA PHONE (DAYTIME): 977 2P7 5(6- OWNER/BUILDER INFORMATION: NAME: ADDRF CITY: PHONE ARCHITECT/ENGINEER INFORMATION: iZ) ST. LUCIE CO CERT. #: O .Nine ZIP:24� o FAX: NAME: M II V ADDRESS: / -r O o {? ¢ «f CITY: e,fo ez.Ck STATE: MCA PHONE (DAYTIME): (-?-?2) a3S FAX: JAN 10 2018 ZIP: 3-11FG6 SLCCC: 9123109 Revised 06130117 Wm"llmlM.,tl l s l® N