HomeMy WebLinkAboutST LUCIE COUNTY PERMIT APPLICATIONHEIiASO ISLAND PROPERTY ' d
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Pi cq480. EC 8103 T . �� (C �M /7 �10 _.E PERM_1 Qfl a n�„ i7Y11)i�i -
APPLI IATION FO PERMIT TO CONSTRU ) -
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JOB LOCATION/ADDRESS:
LEGAL DESCRIPTION SGC i r`IC�i1C- (� SITE
.DTI tLuca � �. rs�
-- II
ROAD' IMPACT: DISTRICT ZONE FEE
S/D II!f MAP # FLOOD ZONE �— ELEV
LOT Ii BLOCK U IT
C - 5 TWP 3 RGE
Syr
y� L 4
i c/IY SC1-/�f 0 o'PR PERTY TAX 1P. / -�_-LdLO ,C
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XUA
y/Y J60 _ Div -c1Co /4 MPP.
I'I 170 k 17 0 X 1 I £�, r (o — r 31 • c91 Y /1: ,Q
.LOT IZE/DIMENSIONS ]S Y Zy X 3 3. 4 Y J 7/& x EST COST /'
SET 'ACKS: FRONT —�' REAR A/SIDE SIDE
SQ T BUILDING: LIVING AREA ���'� ACC}E.SSORY Radon:
ARC ITECT: NAME K� Ly»'P.�t� �SSOG�y� ICSS PHONE
ADDRESS u 1 c% / CITY L AL A ST ZIP 33y&O
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CONTRACTOR: STATE 9'CI�I/.IJG ERT # L-6(-- _0Lt y 3' I COUNTY CERT $ ! d
;I NAME �t64L-Yvt•L CAAQSbADDRESS iJNo 4-,4Av�r� /�ca
Y �. J f�iVh l)c, STATE ZIP SHONE 1i / 3
ER &�" NAME n Cr"JISiak GiJ1L�
RTY: D
A ADDRESS
` PHONE
„I Y / AID t STATE C r • ZIP 3 13
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ST E, O LORIDA, COUNTY OF ST. LUCIE
Before me, the undersigned authority, personally appeared �,�,.1�c��co �,a�a`��,r, who upon
e�ng duly sworn, deposes and says that the information gained in the foregoing �plication is true and correct.
Applicant
q I �
Sworn to and subscribed before me this day of 19
PALL A. SODAHL � SCHOOL IMPACT FEES
Nkc,
bS,3te of Roridak
mcrsig_s Required ❑ Yes No
1afe o��Flori a at Large Amt. Pd
My Commission expires: 1A ti \ s �R�2 Date Pd Posted