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Home My WebLink AboutREVISIONOFFICE USE ONLY: DATE FILED: �T REVISION FEE: SCANNED BY St. Lucie County LOCATION/SITE PERMIT # ' - IV& - Oq 1 RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982.5652 (772)462.1553 APPLICATION FOR BUILDING f RMI ; i IEVISWJS PROJECT INFORMATIO ., � �,�eqp�opy 2 Ij lY.taz. DETAILED DESCRIPTION OF PROJECT CONTRACTOR INFORMATION: ' STATE of FL REG./CERT. #: ST. LUCIE CO CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME):FAX: OWNER/BUILDER INFORMATION: NAME: CITY: PHONE (DAYTIME: STATE: ARCIIITECT/ENGINEER INFORMATION: lull -UT"; ADDRESS: CITY: PHONE (DAYTIME): SLCCC: 9123109 Revised 06130117 STATE: Iy�� FAX: ZIP: ZIP: