HomeMy WebLinkAboutPERMIT APPLICATIONPERMIT NO.
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ST. LUCIE COUNTY PERMIT APPLI ATI N
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CODE # SEWAGE PERMIT NO. P ,
al APPLICATION "VOR' PERMIT CONSTRUCT').5'TO RA
OB LOCATION/ADDRESS 11Y 5�1/ Y p /i",ali a 10
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LEGAL DESCRIPTION 7-3 E Y6 dc
PROPERTY TAX ID #
SITE PLAN NAME
MAP #
FLOOD ZONE,4W6 ELEV
S/D c LOT LK I -MI T
SEC %y A 7 TWP RGE ZONE GMP
SLOT SIZE/DIMENSIONS_ _ _•�� 312-5 A !a / 3 f6 x 33i f9�Jf/p1•;.7i
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gSET BACKS: RONT' /REAR.1� / SIDE SIDE
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fiSO FT BUILDINGS: LIVING AREA ACCESSORY /,4(06
ARCHITECT: NAME
ST
CONTRACTOR: ATE REG/CERT #
CTY'
PHONE
ST r ZIP
�� _ COUNTY CERT #
NAME PHONE
IST CTY ST ZIP
OWNER OF NAME %!,-", ' �&,A, 7- C . ,,��, �x�� PHONE
PROPERTY: ST / O P, CTY—S1 �. L`-'c��_� 1. ZIP 31�
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STATE OF FLORIDA, COUNTY OF ST. LUCIE �,�•`
Before me, the undersigned authority, personally
appeared,/y�_�1�4& % Co gW f/ 'who upon being duly sworn,
deposes and says that t e information contained in the foregoing
application is true and correct.
Sworn to and subscribed
197
State of FL at
on expires
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w. A
before
Large
me this / day of
SCHOOL I .KCT ROAD IMPA;
Req_yes_no Req _yes_
Amt Pd_ Dist
Date Pd Zone
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