HomeMy WebLinkAboutRaymond F.& Theresa H. Wallace-43656ST. LUCIE COUNTY PERMIT APPLICATION P197.178
PERMIT NO. — 3 _ ( CODE SEWAGE PERMIT NO.
APPLICATION FOR PERMIT TO CONSTRUCT 10 x 14 x 39 screen roon , vinyl windows and raised wood deck
JOB LOCATION/ADDRESS: -_q80-1- S Ala Tat 43-2 Nettles—Island--?en--en Beach, F!, 33457
LEGAL DESCRIPTION DRIVEWAY PERMIT
REQUIRED
Yes No ✓'
ROAD IMPACT: DISTRICT
S/D Nettles Island
ZONE
FEE _ b3te !-.'� - Init. AL —
MAP #---- FLOOD ZONE — ELEV
LOT 43 BLOCK _ UNIT ____ SEC--2-_—__ TWP
TAX ID # 4502-501-0229-000/2
RGE
— ZONE GMPP
LOT SIZE/DIMENSIONS 43.00 x 79.95x 19.22 x 89 - 36 x 20. 00 _ EST COST (s ka -
SET BACKS: FRONT 20 —_ REAR
SIDE
SIDE
SQ FT BUILDING: LIVING AREA _ _ ACCESSORY 458 sq ft
ARCHITECT: NAME PHONE —
ADDRESS CITY _ _ ST ZIP
CONTRACTOR: STATE REG/CERT # — COUNTY CERT # 0-00932
NAME Jensen B ADDRESS 172n NW Fecieral Hw;
CITY Stuart STATE Fl ZIP 33494 _ PHONE 692-0090
OWNER OF NAME Raymond F. & Theresa H. Wallace
PROPERTY:
ADDRESS 9801 S Al A 43-2 ORA PHONE 229-5839
CITY Jensen Beach STATE Fl _ Zip 33457
STATE OF FLORIDA, COUNTY OF ST. LUCIE
Before me, the undersigned authority, personally appeared itephen .10rP1 1 A who upon
being duly sworn, deposes and says that the information contai i the for going ap lication is ue and correct.
Applicant
Sworj to and subscribed before me this 28th day of April 19 87
SCHOOL IMPACT FEES
`f^ Required Yes ❑ No
Notary public, State of Florida at Large Amt. Pd
My Comrnission expireAly :cs Uec. 14, 1990 Date Pd
EonSu.'. L`.rl:o, ra.0 Iniwonco Inc. Posted
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SCALE: APPROVED BY DRAWN BY
DATE: I REVISED
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DRAWING NUMBER