HomeMy WebLinkAboutSusan Wesneski Permit Ali APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Pe- Numbe
CTC.
Building Permit Application
3u;;0'^ng c':C Code Reawa-'i0'7:iv'ciC'; v
i
=3GG✓,grr is-:'✓e^ e: Fore?,erce =L 3=:&?
; ,- i
la! rtial
Phone: 77_'„E_--553 Fax: -�i �5-2-1-;-8 (OmmerC �
eside
PLERMIT APP►[CATION FOR:
.:address
' t
?rope--y T ax ��-:
I?,nl - (9Q - 0 11 - LOT NO.
Block No.
Site ?ian Name
Pry;e`-t Name. vz� 1vvx'
tight Side: e=t Side.
Setbacks rront Back: - —
i r_�= ';ick �,;1 ',f .�„r.•.2 �'�G,�
er-Orme under this permit-check a that aPP Y
-
Addt�ronal= work ro �e p — —
Gas Pinin
Shutters ✓`✓dindows/Doors
J _ Generator —Roof
:nrink:tcrc
l C::s Of CcnsLruct er- - LTJ Utilities: Sewer Septic Building Leight:
_�
nr {
D Na n
N'a:TiC
Company: ;r.yi t- ;rise
l Address.
jS7 PL L Address' tG� to^ anac�iC s�•
'i Code. a�
-� Sate: r t
_Y No _ �i,7 code: 3Zg3Z pax: 32-1- 777- 4'Z3U
�T'o^c
E-Mail: Phone No. ??Z 337- ry70
event
'ff --Mail: bL;L 5Sh4u»rj
I Fill in fee simple Title Holder on next page i if d
from the Owner listed above)
State ter°�ountu, Lice se' y- ✓I
If value of construction is 2500 or more,a RECORDED notice of Commencement is required.
DESIGN ER/ENGIN EER-- N. 'c A QP 1;i c 2 b 1 eNot AppiiC2ble
MORTGAGE COMPANY:
Name: Name:
Address: Ar"I'dress:
c:--
Sz-=te City: Sta-
-7 i P Phone: Z:
1p. Phone:
FEE SIMPLE TITLE HOLDER: Not A;)oiicabi= BONDING COMPANY: Not Applicable
Name: Name:
'ddress
..!LV' City:
Zip- Phone:
zio: phone:
zra-nc work or :ns-z2:Liar;on ias corninnenced prior to the;ssuanc-=of a C>erm.-L.
5-1.L:-Icie County--makes ric,rear -Don rnar:s granting a c-ermi-.-wili a e Int perrniz.noider to build the subject struc-ure
which is in conflicr with ar,,,, =-:pD;kc2t)ie Homie C)wFc--.s Association rules, bylaws or covena:�,ts that may restrict or prohibit—11.
st-uCrure. Pl:en-se con Stilt ,vi7.',.vcur'-orre Owners Assoc.ation and reviev.,your deed for any reszrtctions which may a6ply.
:h Con Si(3erZTi0r.of the gi7ranririg of this requested-nerMit, i do rereov agree zhoar!Will, in all resD=C7S. penform the work
!n accordance war. approved plans, the FI-or-ta Building Codes and St. ie Court:
Amenornerrs.
The to0owing ouilding oermir acphca--ions are exemo,from undergoing a fijfi coricurrency review: room additions,
$truczJres,swiminning pools.
fences. walls,signs, screen roonns and accessoi-v uses to another non-residentiai Use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice fo,r
improvern-en-LS to your DrOpeirtLy A Notice of Corrimen.cernent must be recorded and posted on the jobsite
before t,'-se first inspeonon- if you intend to oo-rain. financing, consult with? Jender or an attorney before
commencirig, wori< or recor�.ijpg'Icu- %1-otte cf; Com rrencemenrc.A A
s
dV,
j STATE OF FLO STATE OF FLOB�LPA
COUNTY 0F_!Tk—\j().j(3d COUNTY 0
oe`c— I ne was acknc—lecgec oefore�. e
:lac 70 jT by
LLU-Irs
of Porlc!2 1
P,ociuced
Kr!
4yp
Q,, BROOKESWUI BROk
MY COMMISSION#FF244&% MYCOMMISSION#FF244655 A
PIR S:June 25.2019 np9.c;"0
gondedThruNotariPubl!cUnderwVers gondeffhnj t4otari Public!Jn-de,,w&e,
0� 11 3
=RON-N 7ON;NG SUPERViSOR PLANS VEGETATION 1 SQA TUR TLE
MANGROVE
COUNTER R E V I R E%i t E\A,- R E�V j E W REVIEW REVIEW RF-ViEW
D'A T
CON!PLE_-::
x o
z z z z z z z z z Iz z z Q
p 0 0 0 0 0 0
In 0 0 0 0 0 0
c 0 0 0 0 0 0
U O I O O Hi Ln ui Ln O Ln
O O O O O O O O O C O p O O V (O
a O Lr) O O O O O O O -
ce
O T O O O O O O O N N 0
J
Q'
m O
U p
OO O O O O O O O C O p Q
&! o Ln o 0 0 0 0 0 0 O L6
O O O O O O O O O N N O
C T F
�L)
F. m
o m
H z (1) S H m
m
U)
N
C
O
c
m �
L a
d
� OLI) 0 0
c(0LO 0 O
O d ODLn Q m
C) g
0 ( M
Q
m a
N C� N
72m-0-2
0 u)
.-(50 U
Y
4 L
U 0.2
(n H i�U) =
co
. g 0 0 Y
w
Q a LLI
c) l
Q
z w o «_�� o
p ~ z r_o '� �i y fn « 0
zr)d' O T� �O NO N �IC QQ00
Im U Q O O
QZ� p_ 3Fa- uo'iUU �� YI�'n ��!cLi >. p m o
M fa cz °'z�lc E m mm 15 U a v
U�L>jo OU L'a- xz w Balm Ia �� 3� cpl� 'o 0
YQ(Y� o =� �a r= . � 0 W �� wz.� U I
WLLI maCCO > j 3 tOiIi g t7jIQCL Za (D
U) 0
w0�n Q Z Ny m Z zO) J
r- '� a O O z to
J U of
a o m
U)
z c I of
O LU
Q F CI N s
OD
U
z
T co C) z LU
LL J
(N H W I 0
0 Cl) U J 4
LU �
5 = 3y I E
�a w
w w0-1 LU
c
a F Q
O0j � I i o
Y Z m
z cn v +
O =rn m Q
ULU
OZ_co oLU
Q I
�C:)O N U U
LL
Aff
c
� A�. v IcM+� CD
M 1- 1;; in m en I °' In n asi
Y ti ti n n r- (. n M 0 co o v
T CO
O LO
•v m
E c o
o �
O,C
�@ E
C C �
a� ppE N
G �
U _ J
N
N
0 o -12
E E
p � �
e u o a o
co
m — —
m c �
o '
co