HomeMy WebLinkAboutKarl R.& Patricia k Ivey - 43609ST. LU IE COUNTY PERMIT APPLICATION
PERMIT NO. ( CODE SEWAGE PERMIT NO.
X APPLICATION FOR PERMIT TO CONSTRUCT
-C JOB LOCATION/ADDRESS:
, A) C K,CS(
OK(?H
15 yg.:;L
X LEGAL DESCRIPTION Ohs fe- Li /U 4)12� 71 Ot d Z 4 T- d D f,,Z
-DRIVEWAY PERMIT
ROAD IMPACT: DISTRICT ZONE FEE REQUIRED
S/D MAP FLOOD ZONE Yes """'"etE0 --
LOT BLOCK UNIT SEC TWP DOR=� Init,
PROPERTY TAX ID # yO _ SO Z _ U 1 Y,2 -'0 6Dl 7
ZONE GMPP
LOT SIZE/DIMENSIONS 9�5- / X `xEST COS Aa'5-00 , b�
KSET BACKS: FRONT REAR SIDE % SIDE
SQ FT BUILDING: LIVING AREA — ACCESSORY',-
ARCHITECT: NAME
ADDRESS
CONTRACTOR: STATE REG/CERT #
PHONE _
CITY
— COUNTY CERT
NAME v C-0 rat ER N (---� '�' ' ADDRESS
CITY
OWNER OF NAME
PROPERTY:
ADDRESS
CITY
STATE OF FLORIDA, COUNTY OF ST. LUCIE
STATE ZIP
ST ZIP
t
PHONE
a.2o4k - 87? ags�
PHONE `��y-6y7/
STATE -FLa- ZIP -5 3 q9'�-
Before me, the undersigned authority, personally appeared , who upon
being duly sworn, deposes and says that the information contained in t e foregoing application is true and correct.
Applicant
Evorn to and subscribed before me this
day of 19�
SCHOOL IMPACT FEES
i
Required El Yes ❑ No
N<)tary Public, State of Florida at Large Amt. Pd
My Commission expires:
Date Pd Posted