HomeMy WebLinkAboutPERMIT APPLICATIONHUT MN I
ep A re of
w 16Wde
with.ST. L
c�
PPLICATI
SCANNED
LAND PROPERTY By ;l (y�iR
o:r submittal ST. LUCIE C®1�N PERMIT
or compliance
9IE COUNTY O 9"
o. EC 81.03 k5(CODE
FOR PERMIT TO CONSTRUCT
JOB LOCA ION/ADDRESS:
OR tarry
R1, f. S9✓ J;'," '617
APPLICATION/r/O--S��f/ J
Z,SrWAGE PERMIT NO..
2r—, IV( GAL DE ' RIPTION _.C,d %� �� ~% /DC� �� L//Jl/%Jy .
AD IMP.
L 2
OTC .
OPERTY
,AT IZE/D
T BACKS:
;SO FT BUILI
ARCHITECT:
OWNER OF
PROPERTY:
Ic
F0el
MAP # FLOOD ZONE ��/
f 7`"-` ELEV Z%
T C I Z /�fdVP �' E
6 /D-oo-37—
PP,
"""`" '"J F�cosr yy, oao
ONT '59 EAR .. -. /FIE—
NG:,YVING AREA A SSORY GGA66, 33 a &4& PoQc� aHa
NAME
PHONE
ADDRESS CITY ST ZIP
6,VATE ID/CERT #_ C C C o G 7 2 UNTY CERT #
�AMEn
ADDRESS 01 -7 L jz `y
CITY STATE IQ ZIP 3 PHONE
/ I
ADDRESS k��Di/�Ch PHONE y�% 31y.5'
CITY STATE Zip
STATE OF FIL IDA, COUNTY'OF ST. LUCIE Q
Before'me, the undersigned authority, personally appeared / /4��/�� �jl/%G ,who upon
being duly s rn, deposes and says that the information contain n the foregoing application is true and correct.
c
VV Applicant
Sworn i and subscribed before me this ---� day of -_ (2c ,6y �) �92 c-
Notary ! ublic, State of Flori at Large
My Co I mission expires:
SCHOOL IMPACT FEES
Required es ❑ No
Amt. Pcl
Date Pd
Posted