HomeMy WebLinkAboutPERMIT APPLICATIONST.I
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LUCIE Ct:;UNTY PERMIT APPLICATION
PERMiT I NO. (CODE ::. .....-. ) ``WAGE PERMIT NO 25758
APPLICATION FOR PERMIT T CQNSTRUCT _,single family residence
JOB LO i ATION/ADDRESS: IXXXX Killarney Avenue Fo.
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LEG<%L DESCRIPTION see I low n§IVLMIAV DCDAJIT
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Yes No
ROAD I I PACT: !!DISTRICT _ I inland - -ZONE ._ 8
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S/D _ P.,akewood Park i MAP FLOOD ZONE N A
.LELEV _
_OT 15 BLOCK 15—3 — UNIT SEC
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II _11_..._... TWP RGE
SAX ID 130 I- 613-03�81-000/3
— ---- —,.. - ZONE 16-4 .. _ GMPP _ RL
_OT SIZE/DIMENSIONS - 8 3' X 12-1' 87,696.00
__----- - ---_ EST COST
SET 4 S: FRON,'r — 3 0 REAI .__4,3• _ SIDE 12 6 " 12' 6 "
_.............. - - _ SIDE
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SQ F': BU LDING: ILIVING ARE 1316ACCESSORY 772'
. RCHITEC : NAME none
PHONE —
ADDRESS CITY ..__. — ST ZIP
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CONTRACTOR: STATE REG/C RT m RB 0040822 __._ COUNTY CERT # 1980—
NAME Mich lel M—lekko_Bl.d I. _Contr., ADDRESS 8006 Paso Robles Boulevard
CITY Fort Pierce
-- - SrATE... _rL._ ZIP 34951 PHONE 465-3472
_)WNER OF NAME .— ---1 e-- -....
PROPERTY:� -
ADDRESS
- -- ONE —
CiTY _.._ .._._........_.___...._. _ _..___...-. - _-
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----. STATE ZIP
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TATE OF FLORIDA, COUNTY OF T. LUCIE
Before me, the undersignE authority, personally appeared Michael S. Mleko
eing duly worn, deposes and si s that the 'nformahon containcc{ in the fore goin application is true and who upon
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Swor I
t and subscribed fore me thi, _ 9th i y of October 89
/ i' ------ -- -- , 19
SCHOOL IMPACT FEES
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Required Yes [] No
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a at Large /,.r. t. I`;1 _•---____ -
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