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HomeMy WebLinkAboutREVISION 1I OFFICE USE ONLY: DATE FILED: A-LAn, REVISION FEE: 60) LOCATIONISITE ADDRESS: PERMIT# RECEIPT# 177X0,032 PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION SCANNED 2300 VIRGINIA AVENUE BY FORT PIERCE, FL 34982-5652 St. Luc (772) 462-1553 FAX (772) 462-1578 ie COUnty APPLICATION FOR BUILDING PERmirr REVISIONS PROJECT INFORMATION 2. DETAILED DESCRIPTION OF PROJECT REVISIONS: z %-3 rNK-> () u b�l -Z�t-s —ILP-, Olz %c>%s 3. 4. CONTRACTOR INFORMATION: STATE of Fl, REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: \ --A,3 5, W CITY: 777,j-.;M.� (�. PHONE (DAYTE%IE): (!�03UILDER INFORMATTON: NAME: ADDRESS* CITY: PHONE: -1 -) I?- (.O�t IL - u �5-6 .1 ARCHITECTIENGINEER INFORMATION: NAME: QS26 ADDRESS: CITY: PHONE (DAYTIME): Revised (Y7/2212014 r"1119 STATE: CENT. #: ZIP: ZIP: FAX: R rEN' I S 10 N