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REVISION FEE: /.s'D'C)
LOCATION/SITE
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RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)53
APPLICATION FOR BUILDINGLDINGREVISIONPER
PROJECT INFORMATION
DETAILED DESCRIPTION OF PROJECT
REVISIONS: u e e. R 4 Part e S
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. v4174116 ST. LUCIE CO CERT. #:
BUSINESS NAME: 4.4. A, P-d 4 " la6
QUALIFIERS NAME: / r
ADDRESS: s G.!'
CITY: STATE: r-1 ZIP:
PHONE (DAYTIME): 772 - Xz g I ct05 FAX:
OWNER/BUILDER INFORMATION:
pI ev EW
NAME:
13LD&
ADDRESS:
DATE-
CITY: STATE: ZIP:
tE .
PHONE (DAYTIME: FAX:
nATE:
PLUMB'----
ARCHITECT/ENGINEER INFORMATION:
DATei
NAME: &-2r?ltrl
MECH:----�
CITY: ��-�rccs STATE:
PHONE (DAYTIME): 7* FAX:
SLCCC: 9123109
Revised 06130117
ZIP:
FEB 5 2020
14
Permitting Department
St. Lucie County, FL