HomeMy WebLinkAboutbuilding permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application
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Phone: (7'72`!-6:2-1553 Fax. ( -77�. 'S2 1=-8 Commercial Residential
PERMI T APPLICA T ION FOR:
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U Lot No-
„oertV Tax _ _--
Block No.
SiT_- Dian Name
I Pro e -Na ne
Setbacks =ront Back: Pigrt Side .e"t Side:
^•�T� ik:2
r; rmeo under th15 permit—check ec al!That appy: !�
Additional work to be pe. o
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Gas ?;ning Shuiiers `Ninciows/Doors
—;1/echarli-' as an. _ 3
r:n Oe VCrsCalfll 'C�C }
; rirs `ioC)
_;blit es: Sewer Septic Building Height:
Cosi Cons 7 u C ion. 5 — —
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Name: JI'�1C�-j-n n(7k L"
'-Gmpanv. Pllyt
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State:
zip Cede: . _
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zip Code: 3693 7 Fax: 32-1- 777- �'Z3U
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Phone No. 772 337-VII-70
"i!! in Fee
simple Title Holder on nex, page ( if different E ti?ail. ws5hun:7ai �� =��"
3 P
rorr the Owner listed above'
Sta.e or Count- >_icense: x!�. (
If value of construction is 2540 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: -- Nc, AQ.0i;ca-bie MORTGAGE COMPANY: _ Not Applicable
N2Me Name:
address: : Address:
CFLY. City: State:
ip PhoneLip: Phone:
FEE SIMPLE TITLE HOLDER: _ Nim Apoiicabie BONDING COMPANY:
—Not .applicable
Name: Name:
!i ,Iddress. Address
Zip Phone: zip Phone: j
cer-,y tna--c work or:nsta!larioil -las CDrri-menced prior to the issuance of a permit.
EiCc Co::- MaKeS n0 r eprese-'taaon lila-i5 erantinfZ a perm::will authori=e the permit..oiler to build the subjer strucure t
:vhiC^ !S!i! cicilf':ic With any a.ppiicco!e Home Owners niSsoclBtion r u!es, bylaws of arta covenants that may-e�ri�i or arohibi7 Cucn
,Truce ure. P!=ase consult w+;h vour some Owners As_oc ation and review your deed or any rescrict+ons which may apply.
[n CornSloe euon C-:ire�+ n-.i- Oi=hES- vuc'SteC'u2r^'; !`g'ebV 2�i ee t..ai E wtll, in c'I! (OCp=[r5.�,e;Tprf't the SNOfR
:n acordan e°crit^ •`,ire apoioved pans.the .`io(Idc Si:iki rig Codes=rid Sr. i...Cle Count amen•0men 5.
hE oliowirg building perm;-applications are exemioz r'om underRoin.-_full conc_rrencv review: room additions.
c-CCesS,ry smvc'ures, svv;m-r!tn_pools.7ences. waiis. signs.screen roo-ns and accesso:y lases is another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice ror
improvements to your grope;Ly A Notice of Commencement must be recorded and posted on the jobsite
before the iirSt irspe,,7cion. IT you intend to oDrain financing, carsult with lender or an attorney before
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COUNTY OF In rd — - COUNTY OF (`?�md
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MYCOMMISSION#FF24465� ' = MY COMMISSION#FF244W
111FES,!line-95 2019
BondedThruNotwyPublic Undenvri!ers �'=
— BondedThruNotaryPublicUnderwriter, i
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FRONT 7ON'NG SUPERViSCR PLANS VEGETAT!ON SEATURT!E MANGROVE
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