HomeMy WebLinkAboutPERMIT APPLICATIONBY 3159
ITCFtIc' rSLAND PROP RAY j 15grr,
A review pt your su mlttai ST. LUCIE COUNTY PERMIT APPLICATION
wisi be'maae for correp°pliance !o
-with ST. LUCIE COUNTY
PCREC7-Q3�(CODE-.----- SEV',1AC7E PERMIT NO.
a/, i2c'1:. '� >I�.� Jr
r;P! !c.H,TInN F� R RERMIT TO- CO ST UCT
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LVCATION �;� DDRESS: i�✓i'��r��i� r�l i• V "
LEGAL DESCRIPTION _ STIE PLPN pfJEL'I' t`Y�T�.-�
ROAD IMPACT
V� S/
/ LOT I
XPERTY TA
IMIE
4
ET. BACKS: 'IFI
I
SQ-FT BUILD N,
'ARCHITECT: I I
OWNER O
PROPER'.
DISTRICT
BLOCK
IL
t
ZONE
- / / J
MAP # FLOOD ZONE ✓ELEV
UNIT SEC -`? TWP �C—S RGE
szs ~ 00-0 13,VV--55-,�M3=47
0 U Ul - / Q 0 •D ZON GMPP
ONS�a EST COST
4T REAR A" SIDE ✓ SIDE
rf6qLIVING AREA ACCESSORY 0 1�
NAME —�L - ��� ' - PHONE Ok -
1
ADDRESS CITY ST �-� ZIP 3 Z z O 2i
STATE 140/CERT. # 0 COUNTY CERT # 0 6 1--
1IAME Y22 �/� J ADDRESS /�,Jfe
CITY tg,C/ . � 419 STATE ZIP PHO
/_ADIDRESS
ME 0inl/i
!�W �/%/J�?C�'/ Z2� Q� -PHONE
CITY Z Z STATE ZIP
ISTA�E OFIIFLORIDA, COUNTY OF ST. LUCIE ._
Before me, the undersigned authority, personally appeared who upon
being duly sworn, deposes and says that the information contained ' e foreg c ion i rue and correct.
Applicant
S orn to and subscribed before me this v day o `, t
I
Ij SCHOOL IMPACT FEES
Required ❑ Yes KNO
otary Public StarL4t f4IR�4P Amt. Pd
l NdTAAv P�BF10Rt1ikge �
NY CONNISSION EXP. MAY 10,199E i
Ally CommissggnpEtlexpRirf lbs. uuo. Date Pd Posted
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