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HomeMy WebLinkAboutKeith & Elda Herbison- 43655LINTY PERMIT APPLICATION••. I' blto PERMIT NO. ■ (CODE-#—) SEWAGE PERMIT NO t, APPLICATION FOR PERMIT TO CONSTRUCT � � �Qr �S'UJ1_ e4 i/y64— JOB LOCATION/ADDRESS:L— LEGAL DESCRIPTION v DRIVEWAY PERMIT C� Yes - No LD ROAD IMPACT: DISTRICT _ ZONE FEE MAP # FLOOD ZONE% -_Q hELEV� rj LOT_ BLOCK UNIT SEC TWP RGE �F 1, PROPERTY TAX ID # 4 q 0 1c — 31 3 n ZONE Y S ` GMPP Y �s 1, LOT SIZE/DIMENSIONS / ( EST COS 4 ©OCR � �� l � R` Ila I SET BACKS: FRONT �� REAR `P�'' SIDE SIDE " jt SQ FT BUILDING: LIVING AREA ACCESSORY - ARCHITECT: NAME NJ c-, PHONE — _ t ADDRESS — CITY ST ZIP CONTRA OR: STATE REG/CERT # C. G C n Z 3R6- J _ COUNTY CERT ME 1\(aJ A h�sc &&) l �r,�5 /n�� ADDRESS W6 Z S 0 CITY STATE ZIP -_ PHONE_1Y- �iUCS OWNER OF PROPERTY: NAME ADDRESS '7 3 I rcA 6:4 L PHONE FL ?k 22'9 5 CITY 649 Z7G UC�ICSTATE ZIP 33�1S2_ STATE OF FLORIDA, COUNTY OF ST. LUCIE Before me, the undersigned authority, personally appeared �� 1_'0 G . �sa�; ; �+ I who upon being duly sworn, deposes and says that the information cont*fiL1-0 in the foregoing application is true and correct. icant Sworn to and subscribed before me this u tom— c dVof w� �� 19 �L7 Mary Public, State of Florida at Large M Commission expires: Cps Cx k7 SCHOOL IMPACT FEES Required Ej Yes [] No Amt. Pd Date Pd Posted El 20' ,4z5, 61/ ©z-G • L/fIG- :tic..--�.� w E 'A T H E R ! IN G "r p L A N 0 S U R V E. Y 0 R S 2809 01ANGE AYENU( ti.lIIiCI ftA.3)450 7204 S. U.1.1 SRINES PLAZA II 00:)�61.80a4. P0fr St. tacit, 'LA,31432 e , F {I f ,I { POOL EQUIP . LIST LIGHT '__-7 . TRANS . 7p BOX _ SKIER MAI,N DRAIN -- 3 RETURNS .. HYDRO JETS JANDY VALVE (S ). ,. ..L C{LORINATq R CHLORINE H.P. PUMP a HEATER SLIDE , DIVE BD. S.S. HANDRAIL S.S. STEP LADDER VACUUM 'SET COMPL. L .F . 1 ECK-t3-DRAIN T-.... 54 -FT. PATIO SQ.FT.CAP.