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Home My WebLink AboutRevisionOF'FICE USE ONLY: DATE FILED: REVISION FEE: PERMIT # RECEIPT # PLANNING & DEVELOPMENT SERVICES BUILDING & CODE REGULATION DIVISION 23OO VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (7 72) 462-1553 F AX (1 7 2) 462-rs7 I APPLICATION FOR BUILDING PERMIT REVISIONS PROJECT INFORMATION ,,DETAILED DESCRIPTION OF PROJECT REVISIONS: 3.CONTRACTOR INF'ORMATION : STATE of FL REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTTME): OWNER/BUILDER INFORMATION : NAME: ADDRESS: CITY: PHONE: ARCHITECT/ENGINEER INF'ORMATION: LUCIE COUNTY CERT. #: FAX: ZIP: 4. NAME: ADDRESS: CITY: PHONE (DAYTTME): Revised 07/22l201 4 STATE: FAX: ZIPt