HomeMy WebLinkAboutWilliam Bahr - 43607ST. LUCIE CGUNTY PERMIT APPLICATION
PERMIT NO. CODE # ) SEWAGE PERMIT N
APPLICATION FOR PERMIT TO CONSTRUCT — nn�rXA a ( G4-" tt4
JOB LOCATION/ADDRESS: ab 9O7 Je*41 AoQI A 4 40, 'Opt.,f. L.
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LOT SIZE/DIMENSIONS 120 EST COST
SET BACKS: FRONT APPIP5W REAR _ — SIDE SIDE
SQ FT BUILDING: LIVING AREA T ACCESSORY O� ® .St AT.
ARCHITECT: NAME — PHONE —_
CONTRACTOR:
ADDRESS
STATE REG/CERT
CITY
COUNTY CERT
ST ZIP
NAME 40i+0 AO e*I i3 v J L & if *7 ADDRESS' SA: h
CITY
STATE ZIP _ PHONE
OWNER OF NAME 141 m 440"
PROPERTY:
ADDRESS 940 SAGO/ A 007 PHONE �',Z9•�0 `�
CITY —00'• S • z , STATE ,0`q • ZIP 27y.402
STATE OF FLORIDA, COUNTY OF ST. LUCIE
Before me, the undersigned authority, personally appeared alw ' /Sx/ / /C ,who upon
being duly sworn, deposes and says that the information contained in the foregoing application is true and correct.
Applicant
Sworn to and subscribed before me this ! day of ` < ' 19___ t
7/1
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SCHOOL IMPACT FEESrZ
Required ❑ Yes ❑ No
Notary Public, State of Florida at Large Amt. Pd
My Commission expires:.__ Date Pd
Posted
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