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DATE FILED: 4
REVISION FE�—
,. TG & DEVELOPMENT SERVICES
t j 1 BUILDING&CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE,Fl,34932-5652
n y (772)462-1553 rPX(772)462-IS73
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT ENTFORIMATION
�. LOCATION/SITS:
ADDRESS-
DDETAILED DESCRIPTION OF PROJECT
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3. CONTRACTOR IN ORINIA ION:
STATE of FL REG./CERT.9: ��;`?+`l ST.1LUC.IE COUNTY CERI'.fl:BUSINESS-NAME.-
QUALIFIERS NAME:
CITY:
:
PHONE(DAY`F'a'.b�1_+.):.���,i�- � Cad. ��t� FAX:
4. OWNER/BUILDER INFORMATION-
NAM'�..'":
CITY: �SADD : _ -
PHONE: FAX:
5. ARCHITECT/ElINGI iD;DivR7IINFORMA'D'DON: _
NAME: ST,LUCIE COUNTY
ADDDRE SS: _ _ _ RIM nIN(34A469)N-
E�(ED
CD'D Y: ..® 1 cr! , TATER: FQWCOMPLIANCE
PHONE(DAYTIME): .� •�_ .�..' - - 71-,AX, VIEWED BY
Revised 0%/22/201" PLANS AND PERMIT
MUST BE KEPT ON JOB OR
'kENIS
NO INSPECTION WILL BE MADE
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OFFICE USE ONLY:
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PLANNING& DEVELOPMENT SERVICES
BUILDING&CCD;REGULATION DIVISION
2300"L 3 A AVENUE
FORT E,RCE,II1-1, 4982-652
} a, (772)462-1553 FAX(772)462-1578
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT IINMORMATIIO
II.. LOCATION/SITE
ADDRESS:
DETAILED DESCRIPTION OF PRCD.JE CT
RE,VISIONS:
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3. CONTRACTOR TOR IINFORMATIION:
STATE of FL REG./CCRT.#: 2,)D,:n ST.LUC:IIE C:CDII;NTY CERT.#: 2.q 4 21Z.
BUSINESS NAME:
QUALIFIERS NAME:
CITY: A(<25 vJ cs7.'A.1 STATE: r= L zl p
PHONE(DAYTIME): FAX:
4. OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX:
5. ARC=kIII`II`II+C T/ENGIINEBR INFORMATION: Wf,LUT CQQNry
BUILDlN�DIVISION
ADDRESS: �a
CITY: REVIEWE—Z�y
PHONE(DAYTIME): PLANS AND PERMlT
MUST BE KEPT ON JOB OR
Revised 07122/2014 NO INSPECTION WILL 8E MADE
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