HomeMy WebLinkAboutBralyn Snyder - 43575I &or 07 ;L3
ST. LUCIE COUNTY PERMIT APPLICATION
PERMIT NO. — �- SEWAGE PERMIT NO. _
APPLICATION FOR PERMIT TO CONSTRUCT ('� D
JOB LOCATION/ADDRESS:
LEGAL DESCRIPTION
III
MAP #: FLOOD • T•_ ZONE: ELEVATION:
O—_ . � BLOCK __�� -� — UNIT SUB -DIVISION LA ( j4,1z' (9 c/
SECTION _ _ TWP. F RAN
c^ � �(9 _ 0o C, 3 MAY PER
TAX I. D. # _Ca _1 4. 1 S p �• 6900 ZONE REQUIRED
SIZE OF LOT _ v . X. ` ' 3JA�0 � r -3 t J` Z , /I i L' BLDG. VAt,U�S No __....... -
SET BACKS: FRONT _�� � �f REAR (a tg�„ njj,
SIDE —
SQ. FT. BUILDING: LIVING AREA
ARCHITECT: NAME
SIDE %Z C
ACCESSORY(
ADDRESS ___ _ _._ PHONE
CONTRACTOR: NAME tujT- c��Y^ ' �� irJ ( �� � State Cert./Reg.
ADDRESS c��.Lv .e_..rr2.� 72�1� PHONE ! G S r ( S
OWNER: NAME / J
(if Corporation, List ADDRESS �i y_ �2 /� Ac� PHONEG
Name of President)
PRESIDENT __ ___.___ PHONE
"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 cotained in the foregoing applicat' , is true and correct.
Applicant t'A
Sworn to and subscribed before me this I day of ' ' `� 19�
Notary Public, State of Florida at Large
My Commission expires:
zoo.
--- ------- --