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Home My WebLink AboutRevisions OFFICE USE ONLY: r DATE FILED: PERMIT# REVISION FEE: RECEIPT# PLANNING & DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION,COUNTY 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 FAX(772)462-1578 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: J 2. DETAILED DESCRIPTION OF PROJECT REVISIONS: ��-Ac& -eri -_ 3. CONTRACTOR INFORMATION: STATE of FL REG./CERT.#: ST.LUCIE COUNTY CERT.#: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME): FAX: 4. OWNER/BUILDER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE: FAX: 5. ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME): FAX: Revised 07/22/2014 o. G�