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LOCATION/SrIE
ADDRESS:
— -- PERMIT#__./)
RECEIPT #
SCANNEDPLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
BY 2300 VIRGRUAAVENUE
Lucie County FORTPIERCE,FL349 — —
APPLICATION FOR BUILDINGP I�
PROJECT INFORMATION
17Ya-O s've'44 �Cea-�✓
DETAILED DESCRIPTION OF PROJECT
REVISIONS: �y
CONTRACTOR INFORMATION:
STATE of FL REGJCERT. #: C6 L ! f'a f a
BUSINESS NAME: QUALIFIERS � d A -QUALIFIERS NAME:
ADDRESS: T s d.- A/,6 `..fit
CITY: Wati /t E,4
PHONE (DAYTIME): -- - - -- --
OWNERBUHAER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE:
NAME:
ADDRESS:
CITY:
PHONE (D.
., 43 c,
ST. LUCIE COUNTY CERT. #:
�� ZIP: 3y ffd
FAR:
(7 ? z)V fr- ssi-)
NGINEER INFORMATION:
R n :A/J A—.
SLCCC: 9123109 i ? Z — 2.�7 — $ei C
Revised 04262010
W'
'72-L zee- V-E eQ3 -
AUG 2 3 2018
Permitting Department
St. Lucie County, FL