HomeMy WebLinkAboutSUBMITTED PAPPERSST. LUCIE COUNTY PERMIT APPL CyTI
PERMIT NO.
PLCATION FOR PERMIT TO CONSTRUCT —
XB LOCATION/ADDRESS: FFA Road
( CODE # ) SEWAGE PERMIT NO. 26998
L AL DESCRIPTION Wa of Ek of SEA Lyy $]y of Sunshine State Parkway IPSS S 100 ft.
ROAD IMPACT ISTRICT ZONEE
S/D MAP �i I'FLO�OD�ZONE _/al�J_1— EL
LOT BLOCK UNIT ECS 4 P �3/G 39
ROPERTY TAX ID # 23 - 04 - 412 - 0020 - OOOt. _
Z
LOT SIZE/DIMENSIONS 29.42 acres EST COST $140,000.00
SET BACKS: FRONT 1450' REAR 250' SIDE 300' SIDE 291'
SQ FT BUILDING: LIVING AREA 2768 ACCESSORY 1001
ARCHITECT:
CONTRACTOR:
NAME SCANNFn PHONE _
BY '
ADDRESS st. Eticie eountyCITY
STATE REG/CERT # CGC 0227n8 _ COUNTY CERT
ST ZIP
NAME Paul Jacquin & Son, Inc. ADDRESS P.O. BOX 4343
CITY Fort Pierce Sf*TjEnAIA51.PER5 34948 PHONE 465-2475
OWNER OF NAME —
PROPERTY:
ADDRESS
CITY —
Ft. Pierce
STATE OF FLORIDA, COUNTY OF ST. LUCIE
STATE
Before me, the undersigned authority, personally appeared
being duly sworn, deposes and says that thlnformation contained in the
—PHONE 465-4461
FL ZIP 34945
aacquin , who upon
=a application is true and correct.
Sworn to and subscribed before me this 14th day of Mar
l SCHOOL IMPACT FEES
Y ,
Required
Notary Pub ,State of Florida Large Amt. Pd .
❑ Yes []No
STATE OF FLORIDA
DEPARTMENT OF -HEALTH AND REHABILITATIVE SERVICES
'APPLICATION FOR ONSITE SEWAGE
E DISPOSAL SYSTEM CONSTRUCTION PERMIT
.,,PART 11 -PLOT PLAN
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