HomeMy WebLinkAboutREVISIONSCANNED
BY
OFFICE USE ONLY: St. Lucie County
DATE FILED: V!PERMIT #
REVISION FEE: RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION -tl
'00 2300 VIRGINIA AVEN
FORT PIERCE, FL 349
OL i' (772) 462-1553
Will N
APPLICATION FOR BUILDING PER T,!A - - - - - - -
PROJECT INFORMATION
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LOCATION/SITE
ADDRESS:
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DETAILED DESCRIPTION OF PROJECT
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. ST. LUP.W CO CEKA #:
BUSINESS NAME:
QUALIFIERS NAME: -Vta� je�
ADDREk;S: MC>
CITY: STATE: ZIP:
PHONE (DAYTIME): FAX:
NAME: Av,-kL-)qrr-\ -kbV%irtrhbf-aRLJ
CITY: lyv&Ajr%t (3eQ=�Uri. STATE: k-- I
PHONE (DAYTIME: R"641P4 ?A FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME: in bby-N
ADDRESS: —1 Qtb
CITY: \13
PHONE (DAYTIME):
SLCCC.- 9123109
Revised 06130117
ZIP:
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ZIP: