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HomeMy WebLinkAboutREVISIONOFFICE USE ONLY: n DATE FILED: ') - � `- 1 9I REVISION FEE: PERMIT # - 0 7 S3 RECEIPT # PLANNING & DEVELOPMENT SERVICES RECEIVED BUILDING& CODE REGULATION DIVISION SCANNED 2300 VIRGINIA AVENUE BY FORT PIERCE, FL 34982.5652 MAR 2 9 2019 St. Lucie COUIIty (772) 462.1553 yT. Lucie county, Permitting APPLICATION FOR BUILDING PERMIT DEFERRAL PROJECT INFORMATION LOCATION/SITE ADDRESS: xs-l(o Is DETAILED DESCRIPTION OF PROJECT REVISIONS- `` ,, ` \ \ (06 CONTRACTOR INFORMATION: STATE ofFL REG./CERT. #: BUSINESS NAME: .X`k C QUALIFIERS NAME: ADDRESS: 4Qck Colo CITY: \ �• STA' PHONE (DAYTIME): OWNER/BUILDER INFORMATION: NAME: CITY: PHONE (DAYTIME: STATE: ARCHITECT/ENGINEER INFORMATION: ST. LUCIE CO CERT. #: FAX: FAX: NAME: 1-1� 4rV,, c-.5 u I ADDRESS: '(OO �l l°J io`� Pve• CITY: C�tl.acc� • STATE` VXcx . PHONE (DAYTIME): SR'a--1 'I FAX: SLCCC: 9123109 Revised 07117118