HomeMy WebLinkAboutREV. Hardie Campbell - 43562ST. LUCIE COUNTY PERMIT APPLICATION
PERMIT NO. i CODE # ) SEWAGE PERMIT NO. _
APPLICATION FOR PERMIT
JOB LOCATION/ADDRESS.- v o • '" """`"""'—
LEGAL DESCRIPTION IPAZ4410� �is��,� �� L
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ROAD IMPACT: DISTRICT _ ZONE FEE
S/D �2is� `�'�� MAP $ FLOOD ZONE ELEV
LOT 12-BLOCK Z 3 UNIT SEC TWP RGE
PROPERTY TAX ID # z4_ 3 7-6 / 63,76 -- 00 b% _
ZONE
GMPP
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LOT SIZE/DIMENSIONS ! X /3 S EST COST e%3. D® O SET BACKS: FRONT ZS REAR �� / — SIDE r¢ SIDE
SQ FT BUILDING: LIVING AREA 48¢ — ACCESSORY
ARCHITECT: NAME _
ADDRESS
CONTRACTOR:
PHONE
CITY
STATE REG/CERT $k — COUNTY CERT
NAME e ek' A/' l3 ADDRESS
CITY
ST ZIP
STATE ZIP PHONE
OWNER OF NAME .94CU 12A40Y— �=
PROPERTY:
ADDRESS 2—Z CO /y 2 1 sr �T2�,,"7` PHONE �s �✓� �q
CITY '�a. STATE �G ZIP 3315ZS0
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 contained in theVforegoi applicatio is a and correct.
/ _z
A licant �
Sworn to and subscribed before me this e day of 1q
SCHOOL IMPACT FEES
Required ❑ Yes ❑ No
Notary Public, sate of Florida at Large Amt. Pd
My Commission expires. Date Pd
Posted
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