HomeMy WebLinkAboutSUBMITTED PAPPERSTCHINSON ISLAND PROPERTY- /- E X /S%/NG -f GWOE��t
A review of your submittal will be made for compliance ST. LUCIE COUNTY PERMIT APPLICATION
with ST. LUCIE COUNTY �.
Ordinance I
. 9 0 31 1`
PERMIT NO. II
PR Frt- 1$107
( CODE # ) SEWAGE PERMIT NO.
APPLICATION FOR PERMIT TO CONSTRUCT X ? GGO F 0
JOB LOCATION/ADDRESS: i f L T n 1� D i' G 2 T ` T
LEGAL DESCRIPTION S I L U C( L C i+ re -
SCANNED
ROAD IMPACT: DISTRICT , 11 1R COUntY ZONE FEE ''° C r�
d �y0
S/D l / MAP # FLOOD ZONE A. F1,FV �--
LOT BLOCK -? UNIT SEC TWP RG
PROPERTY TAX ID # L3 `/ Y S G / C COC
ZONE GMPP
LOT SIZE/DIMENSIONS Z 3 %0 ' X 3 3 O EST COST c! O O o
SETBACKS: FRONT �NCr REAR ) / SIDE 1/6O/ SIDE �Oe
SQ FT BUILDING: LIVING AREA ACCESSORY
ARCHITECT: NAME PHONE
ADDRESS CITY ST ZIP
CONTRACTOR: STATE REG/CERT # C PC 0 1 I S i COUNTY CERT # Ct2 7%
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NAME LLB t) (%Lti 13 o A-' ' S(C�LJn I
B CITY F I t7I e2C.(L STATE ZIP PHONE DES-7>C<
OWNER OF NAME I/�t—, a '2 (ACLS �i i t� �^ ^^ R e S S Sf WX(2 -2
PROPERTY:
ADDRESS I (I�J 3 r r Lr0 A-) 2 tJ F� S ( PHONE 22 8-'2 7 C `/
CITY PO (IT SC LUC l L STATE I—C ZIP '? 4/ % s :�,
STATE OF FLORIDA, COUNTY OF ST. LUCIE
Before me, the undersigned authority, personally appeared' i , who upon
being duly sworn, deposes and says that the information containe m the for goin applicat' is true and correct.
i
pplicant go
Sworn to and subscribed before me this 1 !L— day of
it
SCHOOL IMPACT FEES
Required ❑ Yes ❑ No
Notary P lic, State of Fiorlda at Large
My Commission expires:
Amt. Pd
Date Pd
Posted