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ST. LUCIE COUNTY PERMIT APPLICATION
PERMIT NO. X13 veld
APPLICATION FOR PERMIT TO CONSTRUCT
JOB LOCATION/ADDRESS: k5- 3 /
----LEGAL DESCRIPTION
( CODE # )
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ROAD IMPACT: DISTRICT G� ZONE FEE
S/D ''� �`- "� L MAP $ FLOOD ZONE ELEV
LOT' G- BLOCK ^ UNIT SEC 5"S TWP S RGE
PROPERTY TAX ID
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LOT SIZE/DIMENSIONS 3SO /� �!)'� p'7r03 � EST •O
EST COST
SET BACKS: FRONT S REAR SIDE P r SIDE
SQ FT $ G O ACCESSORY
ARCHITECT: NAME
9CITY ST ZIP
CONTRACTOFj ,/ STATE REG/CERT #� ^7� COUNTY CERT # �S
(lt�I� /N E �i�� ` �=c: ADDRESS 106 .� � �(� A-L6 V-Lvzrr� �I1 KAJ
CITYZ2 G_ STATE ZIP PHONE "t `-0% 3
--'OWNER OF NAME 4 Qy i CI? i A
PROPERTY:
ADDRESS YO /-fi / se-r4 PHONE
CITY 1�Z ( LYE 65 (i A? / /S ErrG/Y ATE 04> e) ZIP y$/J'D
STATE OF FLORIDA, COUNTY OF ST. LUCIE
Before me, the undersigned authority, personally appeared who upon
being duly sworn, deposes and says that the information contained the=foregoingation is true and correct.
Applicant
(l-
Sworn to and subscribed before me this day of
U
D w ierritTr= N O
SCHOOL IMPACT FEES MAY B9_ F-
X2/t/ Required ❑ Yes ❑ No
Notaiy Public, State of Florida at Large Amt. Pd
Notary Public, State of Florida et Large Date Pd
My'Commission expire,___ ._ Posted