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Building Permit Application
grpo NUSy [DAPPY-OCCATUOR9 76 aE ACCEPTrfd© pepmre. Number: late: Planning and Development Service$ Sulidino and Code Regula¢ibn Divi§ion -1300 Virginia Avenue, Fait Pierce FL,34982 �,.... Phone' (772) 4G2-1553 Fan; (772) 462-1578 Comma)PG' a ResWental PERMIT APPS, CATION FOR: To fora from dropolbo , ulkk swrow W me and of Una Address: jf0 `' �, e -z �vt Lejal Description: Property Tax [D#:- off . Ll 3 - 0001- { j Lot No. Site plan Dame: -Bloch No. Project Name: Setbacks Front Sack. Rgght Side- � Left Side: DM'A' U0 DESCRIPTWN OF VVaRX. ✓� ��; GIS �, w c -}-c �, �5- it, LJ , Lee cAdd CAO ��G Va��./�uOV11V 11YVSl �{Stl 4�fNYY\"d l3 V4i ut on y1for, ;er eg Mart s perrmn - � ec �EiVAC has �anEs Gas Piping- a app : � 10110MIC 0 Shutters Windows/boor$ Plumbing � Sprinklars Ell Generator QRoof Fatal Sq. Ft of construction: Sri. Get. cif First floor. Costs of V-6mvUetion: S Jac) 0 ,.�•� Utilities: U Sewer L1 Septic Building Height: a d Ire r: C ` (L t` jfl Company: Oe i 1 1 iso lr' ' e _ ce State. Address: -7 ZIP Code: 3 `i �. ��: Fa ci �` '� �y: Phone No. Zip Code: �r � Fax: t G `-�4 f C � `7 E-Mail: Phone No. L4 (e --81A ci� -.. Fill M a signpla MO@ Halctp on nsrA pig@ q iq doftffg t E-Mail: Wo � � �k j °_ ' ,L 1 i?rt�Gtn 4GilQ (i'u"JGu P liEa C o (o)E'A '� nk Stade o County License'-, � /� � � � � 3lZ c 1 N UMIU& 15 $Man CdlV G l�#7G, � orPd� � PJ@21@0