HomeMy WebLinkAboutJoseph G. Miller - 43634ST. LUCIE COUNTY PERMIT
PERMIT NO. C ( CODE #
APPLICATION FOR PERMIT TO O��'IUCTS
JOB LOCATION/ADDRESS: 6,711
LEGAL DESCRIPTION
ROAD IMPACT: DISTRICT
S/D
LOT BLOCK
PROPERTY TAX ID #—
ZONE
APPLICATION
P'?fi0'%- 13 4
SEWAGE PERMIT NO.
-/�V A//� .&-
Yes No
FEE MAI A197 Init.
MAP # FLOOD ZONE
UNIT SEC TWP
ZONE
GMPP
RGE
ELEV
LOT SIZE/DIMENSIONS 4;D 1< g=a EST COST 4 C?. !? d
SET BACKS: FRONT
ARCHITECT: NAME
CONTRACTOR
OWNER OF
PROPERTY:
REAR
SIDE SIDE
ACCESSORY
PHONE —
ADDRESS — CITY ST ZIP
1
STATE REG/CERT COUNTY CERT # (f 50
NAME ADDRESS �-�,r ff L7�)A2.21 te.6 'p,� m lam'` .
CITY STAT9�?� ZIP334§-3 PHONE V6'
NAME
r
ADDRESS �5 &/- �Q-�� r��i`� PHONE
CITY _i`�` STATE
STATE OF FLORIDA, COUNTY OF ST. LUCIE
Before me, the undersigned authority, personally appeared who upon
being duly sworn, deposes and says that the information contained 'n the foregoing appiicatiQn is true and courct.
Applicant
Sworn to and subscribed before me this
day of �') c�,
SCHOOL IMPACT FEES
Required 0 Yes ❑ No
Notary Public, State f Fl
�atary rj0i, 64"Iid3 at Large Amt. Pd
MY Commission expjk !Pommission Expires Jan. 31, 1"
.......... _......._.. _ —... Date Pd — Posted
VP
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SCALE REVISIONS
DATE
OR
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AP VD
TITLE:
NO
By
DATE