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1I/ADDRESS:
RIPTION �OT S /I
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APPLICATION
SEWAGE PERMIT NO.
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ACT: DISTRICT -/44/ J�4 _ ZONE FEE
bd"-T MAP # FLOOD ZONE -Z L ELEV
BLOCK � UNIT LZ-1 Sle
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TAX ID 6�
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'DIMENSIONS. a 0 /t a 321 �S / EST CO9--
S: FRO NP �7 ' REAR 77 '� L-�-S �� IDE a SIDE �9 '
ILDING:e z (, I O
ACCESSORY Radon: 2�17 8
T: NAME -- V�G� �`e�G6/ /� G PHONE— 336 ✓ SAC
ADDRESS 17019 S416a) kA-ld CITY �zl 5 �crC�re ST ZIP J �s-Z
TOR: STAT lCERT #CV 3L4-2c) (, _COUNTY CERT #It CdOCJ
NAME ` ADDRESS (� �* RM-1D � J
STATE 1 ZIP - PHONE �b-I)
OF NAME // OZPO`O S�41 GG/
RTY: DRESS /c O /l�X c7 / Q PHONE
AD� /J
CITYL. G' /��'�C1° STATE ZIP
OF FLORIDA, COUNTY OF ST. LUCIE
Before me, the undersigned authority, personally
duly sworn, deposes and says that the informatioq
SY
Sworn to and subscribed before me this day of
SCHOOL IMPACT FEES
Required ❑ Yes �Jo
Notary Public, State of Florida at Large Amt. Pd —_
11 rJly Commission expires: Date Pd
, who upon
application is true and correct.
I" a
��� /t`Posted _
CHECK LIST
PR1 -11 qQ-
r _.
Proj ct Naae: Smith Warehouse - Enclose Existing Office & Warehouse Bldg,
Architect: Jack Jewell P.E. Ph: 335-
Contractor: ST. LUCIE STRUCTURES Ph: 466-7250
own '_: ROBERT L. SMITH Ph: 461-9222
Addilss: 2903 INDUSTRIAL AVE. FT. PIERCE, FL
Classification:
of Construction:
He "' b t and Area: 3 O x 8 Z?oo
Ocellpancy Requirements per Chapter IV: dip GC
truction Requirements:
A. Fire Protection:
B. Egress Requirements:
Requirements:
Elevators
Sprinklers b Standpipes
Cosbustible Materials - Interior
Roof Coverings
Light - Ventilation - Sanitation
Handicap Requirements
Plans sent to=Fire Dept. - Date: Approved:
Plot Plan Check
IWater Sewer
IEnergy Code
Paving b Drainage approval by Engineering Dept.
Special Conditions prior to issuance
Threshold Affidavit/Before Issuance Affidavit