HomeMy WebLinkAboutSLC Permit Applicationt'L)u' auvil"L',ai J I . LUI.IC .I.UUIV I.Y I-1:KMI I At'h'W—A I IUN --Ii—D — 1- �t 7
will be: 1ad� for compliance
with LUCIE COUNTY
�tA�f�fV° EC 87.0?
APPLICATION FOR PERMIT TO CONSTRUCT
JOB LOCATION/ADDRftfPr5P. 3 w
V
( CODE ..—.) SEWAGE PERMIT NO. 2 7m _
N
e b
-7p
GAL DESCRIPTION SrM MAN FR=f2)2;tjraS s5
LOTS I � g #'151-0614 179 : k45P46702 PAAk UM7 / _A
ROAD IMPACT: DISTRICT �r-x ' ,t.�. . . ............ ;�� C
.— ZONE — FEE r'
ZAke-woop PAP-k I2A --MAP # FLOOD ZONE ELEV,
LOT BLOCK 171 UNIT _ SETWP�-7� RGE
LXPRO.PERTY TAX ID n---------
(/ — — ZON �- _ _ GMPP
LOT SIZE!DIMENSIONS �j( X�1�!• 701 x l62.9 'max 299 13" 7 76 EST COST � Ooo , 00
SET BACKS: FRONT, � REAR 1 _SIDE 9. ,971
SIDE
. �O 0
SQ FT BUILDING: LIVING AREA 912 5 ACCESSORY ___ Radon:
ARCHITECT: NAME --bY -0tJ pz�20N PHONE " i ALL Z
ADDRESS e2-• u��LoW51 CITY po -r sr. 4044!rST L ZIP �4P
CONTRACTOR- ATECW/CERT #EGG _ COUNTY CERT �a �
NAME I LN A R D k Dayls Coss -re, C'f
CITY STATE ELL ZIP 347�4, PHONE f'97035
OWNER OF NAME _MAX
PROPERTYJoCbRESS
rH
100 N68,TH Zia JT���7� PHONE -4 " %o/O
CITY STATE L ZIP 9T" 7
STATE OF FLORIDA, COUNTY OF ST. LUCIE
Before me, the undersigned authority, personally appeared ! Uu C. -� f who upon
being duly Sworn, deposes and says that the information contained in the foregoing application is true and correct.
\\ C Applicant
Sworn to and subscribed before me this day of -4 a 19�.
SCHOOL IMPACT FEES %- ►'� hl O"� �. S Cb
Required ❑ Yes []No Z'-`coV--d C� N�Q "�-
�`�-'�-
Notary Public, State of Florida at large Amt. Pd �Q\U2 -ro 2s51\1�1��GE
My Commission expires: _2_ Date Pd _
Posted
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cvi ��r ui Yuur suunuUdl J I , LUt,_I
will be. ,ads; for coninlionce
with LIJCIF. COUNTY
P€ ,Wjq 80. EC K-03APPLICATION FOR PERMIT TO CONSTRUCT
JOB LOCATION/ADDRE40±2
C .k_UUIV I T rCKMI I ArrLK-A I IUN -f 1'5-0 ",51- -`1�7 71W(
o= e a
112 --- _--- —_ (CODE ._�.��_s__) SEWAGE PERMIT,N�..7�89
EGAL DESCRIPTION ___'_—� SITE MW PfGI1L�P �,U' 'f _
�.oTs I h o ►.oGl�c �}k�l•�toor� l�A9�k — UN1T / _A
ROAD IMPACT: DISTRICT' --� ZONE FEE
/ S/D � I�L001� I�LI f�:C — I2A __ MAP # FLOOD ZONE ELEV .
llV// rr r
�OT 'J _BLOCK 71 UNIT _ f 2�_ SE TWP_� R G E
/PROPERTY TAX ID_ ✓0 1_=__�Q
/ ZON J —_ GMPP
LO,T SIZE /DIMENSIONSv • 70 t I b2.93 tx 279. ?7,,� 1' EST COS'i coo, 00
SET BACKS: FRONT�L1 �� REAR �' 0 _ SIDE ��9• �7 r SIDE(/`T�
SQ FT BUILDING: LIVING AREA � 2 SIS ACCESSORY — f Radon:
ARCHITECT: NAME _�Yp _I-AAsoN _ PHONE
ADDRESS �/• G • !? 8141V 51 CITY per sr. LUGJ�ST L ZIP ?4q�-
CONTRACTOR• ATE /CERT s.LGG G 3U S�-
NAME I LN �� p �, D%il%lS CONjc-,j � p ESS V"T�
CITY POlZt r 1 �=G STATES ZIP 34704 PHONE y'go35
OWNER OF NAME _SAX GXo�'7
PROPERTY: /I
�! vi.�AIYbRESS 100 6 rN c>r� PHONE 1. a " SO /O
CITY __rb�p ._ __ _ STATE F L ZIP
STATE OF FLORIDA, COUNTY OF ST. LUCIE
' Sefore •me, the undersigned authority, personally appeared �� �! -3 ,who upon
b�irig ,duly" sworn, deposes and says that the information contained in the foregoing application is true and correct.
Applicant
Sworn to and subscri d before me this day of --/ u `�'� > q•
SCHOOL IMPACT FEES--►'�I-A`O 1"\�l�,T T',
Required ❑ Yes ❑ No QE�o�d C-Q, N�¢.r--Nk-
Notary Public, State of Florida at large Amt. Pd �Q\U� -ro
OE �v ��v���\C� Fee�Y»
M Commission expires: .� _�— %Z . Date Pd Y P _ Posted
Q'L �v N 1 eve) �� g