HomeMy WebLinkAboutREVISIONOFFICE USE ONLY:
DATE FILED:1
REVISION FEE:
1.
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JUL 2 3 2019
ST. Lucie County,
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 FAX (772) 462-1578?
APPLICATION FOR BUILDING PE�
PROJECT INFORMATION
BY
DETAILED DESCRIPTION OF PROJECT St. Lucie County
REVISIONS:
CONTRACTOR INFORMATION:
STATE of FL REGJCERT. #: CBC1259508 gaTaLUCIE COUNTY CERT. #:
BUSINESS NAME: li
us M ie
ADDREQUALISS-
NAME75 S. Ocean Drive
ADDRESS: IIOUiiff
CITY; lenseni3eacri STATE: ZIP:
PHONE (DAYTIME): _ FAX:
OWNERIBUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
Revised 07/22/2014
STATE: ZIP:
FAX:
STATE: ZIP: