HomeMy WebLinkAboutRichard Abbott- 43610ST. LUCIE COUNTY PERMIT PPPLICATION1vn9414W7"
PERMIT NO. / ( CODE # ) SEWAGE PERMIT NO. —
APPLICATION FOR PERMIT TO CONSTRUCT (,-r r-e� tub I''l
JOB LOCATION/ADDRESS: / J 1 4 IV f04f}4'J Z—k- VC1 C
LEGAL DESCRIPTION
ROAD IMPACT: DISTRICT _ ZONE FED
S/D MAP �$ — FL�OOD2� `f � �V
LOT- :3 BLOCK J-17 UNIT 5 SEC TWP
PROPERTY TAX ID # 31f i cl -?3 --G 00
ZONE GMPP
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LOT SIZE/DIMENSIONS /-2-7, -5 X X l27,13 X 12A 6EST COST
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SET BACKS: FRONT / � / A REAR SIDE L7�C' SIDE
SQ FT BUILDING: LIVING AREA _ ACCESSORY ?�
ARCHITECT: NAME PHONE —
ADDRESS — CITY ST ZIP
CONTRACTOR:
STATE REEG/CERT # — COUNTY CERT # 1-2 7.5�
ADDDRR/ESS.SG6 rAl� r&,u p7ei %eD rri flo,,
CITY ��' ��r� STATES ZIP PHONE '"-5 P?9
OWNER OF NAME Z&ft� IIQ GI4 /34 '/
PROPERTY:
ADDRESS �'1 S. r /v(�} kfqI`F'j /!I PHONE 6 7(f - 9 7c,3
CITY / S/ , STATE ZIP
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 containe 'n the r7eli g atic'n is t�cie and correct.
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Applicant
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Sworn to and subscribed before me this ,�-- day of "� Cam--- fig_.
SCHOOL IMPACT FEES U
Required ❑ Yes ❑ No
Notary Public, State of Florida at Large Amt. Pd
My Commission expires: Date Pd Posted
DATE
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