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Home My WebLink AboutRevisions OFFICE USE ONLY: DATE FILED: PERMIT# REVISION FEE: RECEIPT# 'N�'a Y PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE * FORT PIERCE,FL 34982-5652 (772)462-1553 APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION 1. LOCATION/SITE p ADDRESS: 2. DETAILED DESCRIPTION OF PROJECT REVISIONS: r 3. CONTRACTOR INFORMATION: STATE of FL REG./CERT.#: 7 ST.LUCIE COi�NTY CERT.#: BUSINESS NAME: L- QUALIFIERS NAME: L ADDRESS: . CITY: STATE: ZIP: �Z PHONE(DAYTIME): FAX: 4. OWNER/BUILDER INFORMATION: NAME: • ,�l1NlJ7, �/`�h �i- (N� I-�7�U ADDRESS: z212 CITY: STATE: ZIP: PHONE: `2 FAX: 5. ARCHITECT/ENGINEER INFORMATION: NAME: �/A-- ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME): FAX: SLCCC:9/23/09 Revised 04/26/2010