HomeMy WebLinkAboutD. Radish - 43559rz
QUO 7
ST. LUCIE COUNTY PERMIT APPLICATION
PERMIT NO.
APPLICATION FOR PERMIT TO CONSTRUCT -1— LA (YE
LEGAL DESC
Y of
) SEWAGE PERMIT NO.
7:4 Helz-if- C',
('q5b DRIVEWAY PERMIT
ROAD IMPACT:, DISTR CT ZONE
MAP FLOOD ZONE ---- ELEV
S/D A V A
LOT BLOCK UNIT SEC TWP RGE
PROPERTY TAX ID#.
'
ZONE GMPP
LOT SIZE/DIMENSIONS
SET BACKS: FRONT___-__�_��
'
SQ FT BUILDING: LIVING AREA
ARCHITECT: NAME
U��
CONTRACTOR: STATE REG/[ERT#
REAR SIDE [
--- PHONE
CITY
ST______ ZIP
MW
CITY R 1 STATE___E7,�__- Z|P_33-404__ PHONE
'
OWNER OF NAME
PROPERTY:
ADDRESS PHONE
::K1
STATE
UN
STATE OF FLORIDA, COUNTY 0FST. LU[|E
Before me, the undersigned authority, personally appeared , who upon
being duly sworn, deposes and says that the information contained e f application is true and correct.
7-7017 / -1) v
Applicant 77-
6wvn to and subscribed before me this ^°
-----���_day of
SCHOOL IMPACT FEES
Required Yes No
N00ary Public,
Fr-Floridaat Large—Amt. PJ
Rota mY{ommio�� ��;��a/no,13
Date P6 2/7O Posted
r�ON
�I
i
Job Name e
Job Address
Lot Blb
Subdivision
SKETCH
KP6
�
Date Issued .
Date Wanted
Beams 1 x
Color Roof
Sides
Ch. RI.
RATE
Installed by
Date Completed
iY
I
d� t' •• i V n t D bb g Q 6 � e W— I a
i
A qqgg � , fl s y H� N h r3
i E
o-L�.►-elt -to�o.
�yf { 1 _ �-�Iyy►c,�u`�_�+p, � � i S:, N � � � � .6 '; _ `L 3 � i � a � x ,
ovd � �11�l�Ib�=•,6..��b;�c�.k6�.�fs;1�.�4. �• t � _I � � � $ N a•'� - -
1 �'�' ( I.I., ,�il+��{j���w�Qj.*Ny ,t �� p � � � W I � I 3 y ;� "� � •; r.) •�"r .
.YAM
.; c b �; } r: • ti , 3 S r a u ► 3 M
q� 3g�
k� src��
i b.i "' ., i S w u• t '' , i p It ..
1
PL
nt.KP rtN•x'
A)
l
v^" k
gyp;.
i
r�
i
i
e Cz
------------
1° 3
9