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HomeMy WebLinkAboutREVISION1211412017 13:14 Kamrell OFFICE USE ONLY: DATE FILED: _ REVISION FEE- 0:AX)772288U08 PERMIT# 1711-0349 RECEIPT # P.0021002 DEC 15 1017 BY: PLANNING & DEVELOPMENT SERVICES SCANNED BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE BY FORT PIERCE, FL 34982.5652 St. LUCie Count (772) 462-1553 FAX (772) 462-1578 }/ APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION 1. LOCATION/S4110 S OCEAN DR 303, JENSEN REACH ADDRESS: 2. DETAILED DESCRIPTION OF PROJECT REVISIONS: 3. 4. 5. REMOVE FRONT ENTRY DOOR FROM SCOPE OF WORK. NOT REPLACING CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: CGC061180 gT�^IF_CERT. #: BUSINESS NAME: 11 �2 % VTY QUALIFIERS NAME SE IND ADDRESS: 2ll) - CITY: SIUAKI STATE: ZEE 3499 PHONE (DAYTIME): FAX: 77L 2$$7� �Z1 OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: PHONE: ARCHITECTIENGINEER INFORMATION: NAME: _ ADDRESS: _ CITY: _ PHONE (DAYTIME): Rgviwd 0717MO14 STATE: FAX: STATE: I ZIP: FAX: REVISION