HomeMy WebLinkAboutTNT Boatworks driveway.paving site dev app Public works deptLL�L ST. LUCIE COUNTY PUBLIC WORKS DEPARTMENT
C 0 � y 2300 VIRGINIA AVENUE FT. PIERCE, FLORIDA 34982
772-462-1707
• Email: sdpermilting@stlucieco.org
SITE DEVELOPMENT PERMIT APPLICATION
A Site Development Permit Is required for site related Improvements to occur, The issuance of a Site Development
Permit grants the permittee the ability to engage in site improvements as conditioned by the permit and supporting
documents. A Site Development Permit shall not be Issued unless the proposed development activity is
authorized by a Development Order. (11101,02) Development and Development Permit are defined in LDC 2.00.
Project Name: TlJr G.vIroM-boJwoek6 'Dr+dowaN +l)Mict 6MShLe:i jAcres Phase
Brief Project Description: 2a+oyr `awy Q etpucrroh ANd replace A' raw t '4 r-wfiuH
Property Information:
A. Owner:'T7 KtsF.r TNrQslt,..'Ra�"Work� �-G Phone:]72NGy-5drd`1
B. Mailing Address: 520-i — Q �t �I �ti tti SreF
City: r. vlgM4 State: GI- zip: _-TgygL
Email:
C. Parcel ID
D. Signature:
Applicant Information: (i tl ng as an agent, provide agent authorization letter)
A. Applicant/Agent: dr- "Ew- Phone: "77z• Y64 1T78
B. Mailing Address: 'Sian H" 9Frc t
City: �nri (iQrrs State: Fir Zip: 3N9 c1h
Email: I Atli) A0 1%mn 6?Ae.. wvcy ec>M
ItR J_ C. Signature: 4 a
Engineer of Record (EOR):
A.
B.
C.
Engineer:_
Company:
Mailing Ad
City: _
Email:
State:
Phone:
D. Signature:
Engineers Acknowledgement: By signing this application, the FOR acknowledges that the final signed and sealed
documents for SLC permitting are the same as those permitted by other agencies.
Permittee: (place an�X/next to the responsible party the permit is to be issued to)
Applicant/Agentis Engineer Other_
arm
For aLC Onlclal lleo Octobar 207.0
Pit A _ B — C
Date: Application Fee: Received By: