HomeMy WebLinkAboutBuilding Permit ApplicationALL A PPLI CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DatePermit Number:
Building Permit Application
Pending ane Cove opnent xrvkea
Belong and Code eegumrmo D;ma;nn
23W begins Awall, Fiat Force FL 30592
Phone: pzil 4631553 Fax pRl 462 1578 Commercial Residential
PERMIT APPLICATION FOR: TO Select from droplets, dickarrow at the end of line
Address: C.pLi LfVy. F= Cu5si CU It r^S
Le al Desenptlon: NOL ilN) Pali cjCd a (forplay Ial
I C�- 396&-11b0�
Property Tax lD An 13\2-SN) -colle-000-Al Leon )S
Site Plan Name : Block No.
Project Name:
Setbacks Front Back: RIghtsce Lei:
NC. ClFoDJ(oi 007. I J$TP GUOf)mgry 3 TOW 14 cii IO NW
qlH - NQUF5�U4 -
Clio - (Bk IL{O3 rlL
I II°°-��{{ Permit-checkappy:
Ai
o o Gas Tank on a ❑Gas Piping _Shuman I�❑windows/Doors
❑Electric EJPlumbing []Sprinklers hGenerator Lvl Roof O Rsmpion
Total Sq. Ft of Construction: 1448 Spl Fit of Firm Floor
:
Cost of Consul s 23()0' utiles: hlsewer❑sepbc Building Height
Name FFllfil.Pl msmkoa l MOATC,gN F A$$! Name: q1b1PN1�tiA (.I1W2PL.CL
Address: le`t's ONWFC 10.Wy \T ad Company,(spol 6 C W2 C9WIT ON WL_ (mac?
City'. "OkuA> stater Address: IS I jT\QT `S 9T
zip code. 19954 Fax: City: Wgc asp stater
Phone No. QlZ lt3. 46w3 zip Code'. 2"L(yl3 Fax IrKU- 5345188
EMAIL Phone No Sn5 ultut 'tTsq
Fill In fee simple Titk Holder on next page l if different E-Mad'. (ePblh3Nrt (O PMNIL, COM
from the oxnerRned slower Slate or County License: CNC 1811783
If value of 00"Alw;On is $2500 or more, a RECORDED Ill of Condensation is rewired.
emm that no work I, has ,mmi pear to the isu mi a Permit.
Set Lucia ryryr yep e¢e5 -onMa igrantingaPro I[ rl Imperial
themkholtl mhold the subject
St
rya[, s_ leasee nssu any
with yoIur Home Owownass° andrrevelew vcuur Yeeedfi,... is Us'
':brl<'ht restrict
prohibit
plyphase Yb`i°uan
In nsidet n°nhe granting m Mas m eneo Permit,7/l tae hveaevagree Iwill, In allema perform me work
in Consideration
e°raanve with me approvedFrank,me Floridaemlae�aea 7/a cwa. County Amename�,rts.
the mil°wing building oppaa ,,,of from undergoing a full morr neyre maaanlon
or eesory Aructures, summary Roger renaa.'I'll ,gas, screen rooms and aaeaaorv°aea to anomer not recall we
STATE OF FLORIDA STATIZ& FLORIDA
COUNTYOF loplibroll fYinspok, COUNTY OF M(Arves IANPF•
The Nominclnarural was acknowledged before me The Ferraing'mAru ment was acknowledged before me
thih-QLdornLIF)PUtput 20 no) [nle_jZ_dayor wvanw zo 11 by
m..v.'+........ __
My caln VISSloN,`:F[ssie gMjlI e INAWIS MANTINFZ
FXPIPES Pugun 10, g0 i� n, his,
65lON F.. sse
III Corn mlaalonNo. U)Ms k% Seal) IcommlaalpnNo.F=(SIS18 (Seal)
Necked 07/15/2014
REVIEWS
.____I_........... _,......vv^�ay.v
Name.
MUX I GAGL COMPANY: Not Applicable
Name:
SUPERVISOR
Address:
Address:
City: State:_
Zip: Pbone:
Ciry: State._
Zip: Phone'
FEE SIMPLE TRLE HOLDER: _Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
REVIEW
Atltlress:
Address:
City:
CIN:
Zip: Phone:
ZIP: Phone:
emm that no work I, has ,mmi pear to the isu mi a Permit.
Set Lucia ryryr yep e¢e5 -onMa igrantingaPro I[ rl Imperial
themkholtl mhold the subject
St
rya[, s_ leasee nssu any
with yoIur Home Owownass° andrrevelew vcuur Yeeedfi,... is Us'
':brl<'ht restrict
prohibit
plyphase Yb`i°uan
In nsidet n°nhe granting m Mas m eneo Permit,7/l tae hveaevagree Iwill, In allema perform me work
in Consideration
e°raanve with me approvedFrank,me Floridaemlae�aea 7/a cwa. County Amename�,rts.
the mil°wing building oppaa ,,,of from undergoing a full morr neyre maaanlon
or eesory Aructures, summary Roger renaa.'I'll ,gas, screen rooms and aaeaaorv°aea to anomer not recall we
STATE OF FLORIDA STATIZ& FLORIDA
COUNTYOF loplibroll fYinspok, COUNTY OF M(Arves IANPF•
The Nominclnarural was acknowledged before me The Ferraing'mAru ment was acknowledged before me
thih-QLdornLIF)PUtput 20 no) [nle_jZ_dayor wvanw zo 11 by
m..v.'+........ __
My caln VISSloN,`:F[ssie gMjlI e INAWIS MANTINFZ
FXPIPES Pugun 10, g0 i� n, his,
65lON F.. sse
III Corn mlaalonNo. U)Ms k% Seal) IcommlaalpnNo.F=(SIS18 (Seal)
Necked 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLJOLS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REV Pay
REVIEW
COMPLETE
NITIj