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HomeMy WebLinkAboutRevisions OFFICE USE ONLY: RECEIVED JUN�2 6 2015 = DATE FILED: P 5 _ PERMIT# REVISION FEE: RECEIPT# t " 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 PERMIT REVISIONS PROJECT INFORMATION 1. LOCATION/SITEn ADDRESS: 3-210 E a �l rlt5 C..Y �T Y�traL 2. DETAILED DESCRIPTION OF PROJECT REVISIONS: 'f 3. CONTRACTOR INFORMATION: STATE of FL REG./CERT.#: ST.LUCI COUNTY CERT.It: SOS 7'Z BUSINESS NAME: --'5"e.- QUALIFIERS j+.,. e✓ i QUALIFIERS NAME: Iht� u.t r i 55dtNb ADDRESS: 1(02(® W-b..or. CITY: S!- cc STATE: ZIP: y 8y1 PHONE(DAYTIME): ( 1011 'S' FAX: 1 - 9 q O 4. OWNER/BUILDER INFORMATION: NAME: 1� ADDRESS: CITY: STATE: ZIP: PHONE: FAX: 5. ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME): FAX: Revised 07/22/2014 1 ls6s � aa�� ESS EXPERT.SHUTTER SERVICES INC. FILE COPY we're Taking The Shutter Industry By Storm' �msemr.�A-0m.wseoentn 4 5 9 2 rearpa8o BREWER „ RESIDENCE front enhy 1626 S.W. Biltmore Street•Port St.Lucie, Florida 34984 (772) 871-1915•(800)74979056•Fax(772) 871-0990