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HomeMy WebLinkAboutRevision %j OAR, OFFICE USE ONLY: - DATE FILED: PERMIT# 1508-0420 REVISION FEE: q*� RECEIPT# ro-7 PLANNING&DEVELOPMENT SERVICES * BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 qm (772)462-1553 FAX(772)462-1578 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION 1. LOCATION/S�TE ADDRESS: l U5 Lakeland Blvd.Fort Pierce,FL 34951 ,73 2. DETAILED DESCRIPTION OF PROJECT b a ' � REVISIONS: Revising permit 1508-0420 to submit new engineering. 3. CONTRACTOR INFORMATION: STATE of FL REG./CERT.#. CCC058327LUCK COUNTY CERT.#: BUSINESS NAME: At S�Home Services QUALIFIERS NAS ADDRESS: o/` s Military rail CITY; DeeTrield BeacriSTATE: ZIP: 33442 PHONE -Ext(DAYTEVIE): - 2 FAX., 4. OWNER/BUILDER INFORMATION: NAME: Klaus Bywaletz ADDRESS: 8 104 LakelandBlvd. .CITY: rUILr uiuoSTATE: FL zip:---34951— PHONE: IP: 34951PHONE: (772) 646- 1936 FAX: 5. ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY:. STATE: ZIP: PHONE(DAYTIlVIE): FAX: Revised 07/22/2014 m V .10 u"'E"IS