HomeMy WebLinkAboutApplication for Zoning Compliances50J6X4C0�Lh+T:•T1aC4000�'ri•Xsixiiitt�:px+:tvcc Q (� /
DATE FILED: U y �U PR NUMBER: ��I , D '
PLAN REVIEW FEE: I L: RECEIPT NO.: PERMIT NUMBER: 4 /
CONCURRENCY FEE: - - ` <<RECEIPT NO.: CERT. CAP. NO.:
• '�` COUNTY LUCIE
DEPARTMENTOF •MMUN17Y DEVELOPMENT`�
FORT PIERCE FL 34982-5652
407462-1553
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APPLICATION for BUILDING PERMIT
- CERTIFICATE of_CAPACITY/ZONING .COMPLIANCE
1. LOCATION/SITE ADDRESS:
SS:
z S/D NAME: �" o t,
PROJECT INFORMATION
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3. PROPERTY TAX ID #: —00 /Q
NAME:
4. LEGAL DESCRIPTION (attach ds sxft sheB r r4: t `� " � � C-
5. PLAT 6. PAGE 7. BLOCK & LOT
BOOK NO. NO. NO.
q9. S3 Xc 9y aS x g /;:-(j&? �.
S. PARCEL SIZE: ACRES/SO FT. LOT DIMENSIONS
10. DESCRIPTION OF CONSTRUCTION PRWECT OR WORK ACTIVITY. l (A �`T4- C: �� c • , .n n-t ; l w h
11. SET BACKS (ACTUAL) FRONT: BACK: RIGHT LEFT
,20= SIDE o SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENONATiON
[ ] RESIDENTIAL [ ] COMMERCIAL ,�} INDUSTRIAL
[ j OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE: I� n :� L. v.. tYj n a
14. Sq. FUCONSTRUCTTON: 15. Sq. FL 1st Floor.
16. VALUE OF CONSTRUCTION: o 0, U oU U
The valor -of :oonstruction. is used to,dot=** the arrm ut of parrdt fees to be assessed. OL Luis County r owm the r1ght to question and/or modlfy the
Indicated value of condnw* n d It Is damoragabd OW tM submitted figures an not omdito with similar types of oons&ucdon acovides.
ST. L,UC E COUNTY SLGCON Form No.: OM-0
APPUCATION for BUILDING PERMIT