HomeMy WebLinkAboutPERMIT APPLICATION. /O -a3
DRI SWAY PERMIT Plf-epf--
NUl lN50N ISLAND PROPERTY � "' /
�ERMIT
A review of your submittal ST. LUCIE CO APPLICATION
will be made for compli,3nce Yes NO -
with ST. LUCIE COUNTY
?, Pc l�o..EC 97-03.__.... _ ...__-.... ate p ^G' If - erGF �PnEQA•AIT NO
POCATION FOR PERMIT TO CONSTRUCT C�-!/v�j4`G1i4. _.y��,� IIGHtV/ ��'✓,Cc.�
ST>F PAIN NW: -.
P re- tV
JOB LOCATION/ADDRESS: 3-3 4.3 L�p/�_ T?I vEw = • E1 ..! ... _
XGL DESCRIPTION.
SCANNED
ROAD IMPACT: DISTRICT ZONE FEE •.—.-- -StLucie.County
MAP FLOOD ONE E EV-----•.-• -
c�BLOCK UNIT E OT �Z-�f ... .
�OPP`RTY TAX ID ... ;. ? 67 b�0J �� � r� "�J .��j-
O . _ PP
LOT SI E/DIMEN510N5ffi x _.e_/OST
T BACKS: F NT �. S_., ,a�AR
` 50 FT BUILDING: LIVING AREA 6 3S"� ACCESSORY Jk:�)
ARCHITECT: NAME �`yr�^/�'�'f'� / - PHONE
ADD SS .u�1 '.�/ - - - CITY 17'U P'Trz,e. ST G' YIP-.�
CONTRACTOR: ATE PO/CERT # C_,Cxr C.a�j Z r�S~ r�iNTY CERT
b CY/one—'—il-
LL _ ADDRESS
CITY L•fi l.r.��+tC'r }f L_ STATE x1P .� - 6,3 PHONE
r
f r zf� n Vic- � - ��'•.
OWNER OF e )(?.. tGl uir� D, �z A. K.
PROPERTY: l I 'iC�CC . cJt%( 7
� ADDRESS -.L�� `... .�.., PHONE —
CITY - �1 �_, c 7�� /�� C) r - STATE l ... '�..._ _ ZIP S
STATE: OF FLORIDA, COUNTY OF ST, LUCIE
i. Before me, the undersigned authority,personally anred who ypon
i being ,duly sworn, deposes and says that the nformation con :ned I orego:n ap l: at r ' an -.: rrkt:
I Appficant
"Sworn to and subscribed before rm this 44--- day of
SCHOOL IMPACT FEES
Required 11"Yas [I
No
Wota . Public, State of Florlds at Largo Amt. Pd'y