HomeMy WebLinkAboutFrank Kabetal - 43664ST. LUCIE CbUNTY PERMIT APPLICATIO vlloo
PERMIT NO. ( CODE ) SEWAGE PERMIT NO.
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APPLICATION FOR PERMIT TO CONSTRUCT JCi uj�L�(�i1C?CtL 5
JOB LOCATION/ADDRESS: Lr7 % /C��"��
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LEGAL DESCRIPTION proKAIT XQ-4'
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Date
S/D MAP # FLOOD ZONE ELEV
LOT BLOCK UNIT SEC TWP
PROPERTY TAX ID
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GMPP
RGE
LOT SIZE/DIMENSIONS 3 ` X 7S �� � r EST COST J 1-5-0- `)r
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ARCHITECT: NAME 1�t �, True PHONE —
ADDRESS-1N/01 16'J74/ 14-L tqf_-ft) . CITY ST /E214._ ZIP '` 56
CONTRACTOR: STATE REG/CERT # e COUNTY CERT # e9
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OWNER OF NAME tj
PROPERTY: _ _
ADDRESS �-n/ ��� SFG7 / D ,044 PHONE _H
CITY 301JS E' Qc- 1-F STATE 25-L/I ZIP
STATE OF FLORIDA, COUNTY OF ST. LUCIE
Before me, the undersigned authority, personally appeared Q/-N who upon
being duly sworn, deposes and says that the information contai the foregoing applicat' ri is true and correct.
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SCHOOL IMPACT FEES
U/c'%� Required [] Yes
Notary Pub State of 'Florkla at Large Amt. Pd
Notary Public, State of Florida.
My Commission expires: MY Commission Expires June
on ad thru Date Pd Posted
Notary Public Underwriters.
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