HomeMy WebLinkAboutHarold Zimmerman - 43561;111111�lb
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--"ST. LUCIE COUNT`r PERMIT APPLICATION
PERMIT NO. ( CODE $k ) SEWAGE PERMIT NO. —
APPLICATION FOR PERMIT TO CONSTRUCT C X T , l t4` lZ 4 � � � /A/9
JOB LOCATION/ADDRESS: - U4 a� V �`� �� l�y� UL'R�2
LEGAL DESCRIPTION �0L6%L
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ROAD IMPACT: DISTRICT
S/D
ZONE
FEE
MAP #$ FLOOD ZONE ELEV
LOT 4 S BLOCK
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UNIT ____
. SEC TWP RGE
PROPERTY TAX ID #
--r> 3 0
12 0 t �' O Q —
LOT SIZE/DIMENSIONS / 0 0—A 1
SET BACKS: FRONT
N/ 14' REAR
SQ FT BUILDING: LIVING AREA
ARCHITECT:
CONTRACTOR:
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of P --/v
'51-k- S
OWNER OF
PROPERTY:
NAME
ADDRESS
ZONE
GMPP
EST COST U
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SIDE 4 �� SIDE /vLb
ACCESSORY !�t C-"
PHONE
,( CITY ST �9 ZIP
STATE REG/CERT # G� �' (,� �"`( z COUNTY CERT # l5 1 3
NAME �7� E� �' /f ADDRESS
CITY 20 A- G l r(' STATE ZIP PHONE 33-S 72 Z,3
NAME
ADDRESS52
PHONE
CITY `' L �� 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 contain i the foregoing a t'01f1s'tr6y and correct.
pplicant
Sworn to and subscribed before me this day of
SCHOOL IMPACT FEES
Required ❑ Yes ❑ No
Notary Publid, `State of Florida at Large Amt. Pd
My Commission expires. Date Pd
Posted
. 7;
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