HomeMy WebLinkAboutBarney Barnes - 43569r
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ST. LUCrE COUNTY PERMIT APPLICATION
PERMIT NO. - ( CODE # ) SEWAGE PERMIT NO.
APPLICATION FOR PERMIT TO CONSTRUCT
JOB LOCATION/ADDRESS: 5.3& °Z ,
LEGAL DESCRIPTION Z�-� <6� ',7
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REQUIRED
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LOT BLOCK UNIT SEC
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PROPERTY TAX ID COOLS
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LOT SIZE/DIMENSIONS 120 i/ X / 3-2
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EST COST S 2 57C r' 0
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ARCHITECT: NAME N01%1E
PHONE
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CITY �_
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CONTRACTOR: STATE REG/CERT # NUNE _
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COUNTY CERT #_
NAME
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ADDRESS
CITY
STATE
ZIP _— PHONE
OWNER OF
PROPERTY:
NAME
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STATE OF FLORIDA, COUNTY OF ST. LUCIE ff�� � ,,�%��p
Before me, the undersigned authority, personally appeared _� �✓�` 13; / /L! L.J;ibpua
who upon
being duly sworn, deposes and says that the information contained in the fore ing applicati n is true and correct.
Applicant
Sworn to and subscribed before me this �� day of
19 ,
Notary Public, State of Florida at Large
My Commission expires.
SCHOOL IMPACT FEES
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