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HomeMy WebLinkAboutBuilding Permit Application WV MOT LLOZ/LT/OT ALL APO CABU•iWO MUST BE COMPLETED FORAPPUC.ATION TO HE:A CPT90 1., - perm►r Number:,�,,..���., 1 !.� Rate; low RECEIVED OCT 172017 Ootid-Ing:Permit-APPOCA100 P400)§ON lFeaelapme6f-560105 Bt#ldlRq i{rr(l Cndc It 9u)(7 0i�7lv;:lph (V7n3i.tfaRvenuc,.fork. ier.�e. k.3�i�1 Phone: 47a)44 221553 Fax:(772y462'•3;57 rail rtt i°ci�l 'Ftes►dentiai: POMITAOLICATION FOR: 7f?.Select'fraM drbol)Ck,Glick arrow:iit the 4�nei 6f'lis.0 Property Yak ib'lf:s�'��' •• �f t �—_ ,_ . lcrt Na:.T—=�� , SiteFlan Name: _. . .— .� ..., ....,.., 81ai:k•RI4:, Setbacks ' F'rorvC_,,_ Right-Side:_.Left Side: . i duns p-vivie. rz+o a wor ti) rmfa un er. sperm. —c ec app Y% I.�Iti•Y3tG Cas�aCik .aS Aipin� Shutiers j '(Wiru3avrs�l�nars Cbee@rlc U P[ir"Mig []-�prmkiars 50v.'�tof 1.�.,�•R00. pikCn Total Sq.R ofCanstruCffon: SQ.Ft,pfTirst Floor-. Cosi°of Can9trudtiori;S utilities t 5jwer 'Septic 9111160k Hpirhts Namo. Name?. Addre5S: State; ,address: F C.ity: . • ... � r; Statin: i dip.Code: Elk ... City, �.. Phone Nd; ZIp:Code, Fax` Ppane Nb, " I 01 in fee simple 7'itle-VolderdohfttPI@9R•(!fAfferQfvt ( .t�lialt: ,• ~.. 1 State ar C134 }+License: E{t►hmi:h���?u+rnerii�ed a4�gVe) � .. .. tf.imtUeai tVastrpctrnrl 9�S28tt.0 ar mdt+9,a•R�CeRDE[T tlattce ul CommeacQ aRc is r. Ujr d., .a'd WV MOT LXOZ/LI/OX slot DESIGNER E{e MWEEK: 4..Not Applicable Rt r)gT6AtjE•ctDMRAf+1Yr 'f'ti fVot QpplfGabfe Name... . . Name- City.- ameCity: St�tQ: Cid+:ro ...�5tate: ZIP: A on© Zip: Rhone: FEE S3tlllAiE Ift'El~.F4ip1pER: _,X NotApplIcabl'eI0011lta:9,tD9NpANY: Not-Appficabfe tame• Nn>:tiec Address- �,�--�� -... .. -W Zip= OWNEW,cOii`I�A TQiR�SFFt[>f1Pft:'AAPEieaLipn:lshe�e Ymadeto©hi lit P�rintt,'i}:d�the.work'and'iifstaiiatiuf?'aSindlC2i�d. t s:astlt�+tfrdt no Work ai+instdJEttti+�tr hax'CbrtimcniGetl•prl'oF td th a I'i&uante'ar�pprmrt. I uci�Count makeg no re rage..�tatl6r~x}i�.t{g;8rahtM a: :a iniG' lii'authartre tba aCn Sk ilpl�f�r xp Etliftd ffep.subject Stftl,Cty/c �vhlGhis In�op Ictwitti,ai apnllc�ndA HORtD Qwnee;lts�tan rues,by.awsor,in r-covenants that rriiy'rttastrfct ai'•PW ibltsuch. strucCurc'Ridt SQnSUICIncS{t.Yourlloftle�lMta9r.�AsSrr f4riandkwt{ yobTtlead o,.ati resrriicibnswhrch•'xnaV'aBPly• rwcolrsfdera#Qn Rf the gr,wttiirg..of thL5 requested', rrrat,:i da he8re.6y a$re®'that! 1fi,In SII ras>h�Zts,perNrm thvwork in-actord'&ttce Wifh tfrd:8pprbved rilaosi the'Fiarida 9uftding.Godes and st.Cu66 cot,nry.Amentlrrterrts. The following building permft:bppptatians are exempt from undergo(hS.aU9'concwrency'revlew:raps»addition, aecssssortif aiructur�s;sveitnmrn�p604,fences,ivak,s19nr,screen rooms and accessary usevici another npn,residemia3 use WAfININOTO dWWW V'aur£altum to ftecard a N ittet:(f Ctitiimencoment May resuft:itr ipur p4Vft tWke fPe irn,rov�riipr4 to y'purpraperty:A..tde�ljcP qi Corttm net!miept:Most�be facoided and!?osteo gmth'0 j0bsite befiore the fgr'st ioi pectiaa,if you:trfteY.d td bbmin flri4n&i&consult:With(ebdAr or.atl uttornpy.f efore commenting works retordiri'• o f Ndtke�Cairrrn�n mf«i1t... r,,. SignaturQ•pf+�wei�rl:t:ecsae%r•,�r±tractor a� int fop pivp�r""';:$Ignatyre q onE,raEGir(LiccnsA•Fiold®'C' TATE.-OF'F[ORtpiR STi iE f3F'F.LC1 AA 0 :COUNTY OF .a p h1r ingihstttr @tY 5 ick pisrtedged hefvra me. ThA:f�lr 4iggfq�tC.1491 qAt-OS., KiSpWle ged bQrato'm q p Q"•' is. . aP . ZO.f tt this 1' de pfxqo � ' 2tl 5Y 'a w nm . 2rson7no5king.Staternek of der ogmakTrrgsfatgimahf �°.� er6crnallygrit1w 1v� OR Ftbducdd Identfficatlop ,_„�,_ i�lf nb e �OR Pi4ft-ed IdPF)%IIrIt0on r at9o'r'; Type of Joohofi� 'on ' Produted ... .. • ~ Isignotur 4f N" ry public-Sate of FiWdA i ¢ {Sfgnatuts of fJ4idc}r Public State nf:0iar�da :s camrtiission�fVo, �^ . {Ssitlf I,t ommissioalVn T„ �^ (5&aT}: PtVIEWS FRONT YZOMNG• f sukgvlSoff FtLANs ;'VEGGTAT-i&N j SMYURTI-E MANGROVEr COUNT,% REvlt I R'�V11 w R VIEW HVVIEW i REVIEW FrE4�li U9t• �..wr CQMPiETEpLL--'•-----._ ..� Rev..8/7117 :ag