HomeMy WebLinkAbout5209 Palmetto Ave Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Da— NjnnnEr
S
Building Permit Application
.I
?horse-71_ _ __ __-a Comm. ercidi Residen,iai
Q'RM)) APUCATi0"d FORS
M
—cr L.-��„_��I'?Ax
n
_ r
Lol No
Sdi; 'ic`Name v Block No. J
:n. Sac Right Sine --Sioe
€
�rclt:cna+work to be pe-armed under tnls aermit—check all that apply
Gas`a^k _Gas Piping _ShuTters ✓f Windows/boors
i
`-G `t
,c l ir
Name
li l 71 � 4 -_— s-ctv Address (05
{€
tIf �r,,j No.������-�l 7� 'ip Cade: 1--q =ax: :3 vi-
fE Fill in fee simple Title Hoider on next page(if different =-Mati
tom the Owner listed above) y'a:_
t value of consmacion is 250O or more,z RECORDED Notice of Commencement is rr-Puired.
DE SIGN ER'ENGINEEA' _ ��-cn_ -��e MORTGAGE COMPAN _ N oa cam_ e
. Andress
c-2te
� = Phnng •P. ~!roue
FFE SIMPLE TITLE HOLDER: _tioc�Oo�!ca b'.e BONDING COMPANY: —Not AppnC2 ble
I; Pn,-e
�Ia 2�1125E- -NGr�
a7s zle`icr.I ..g am.-ic.
_11]nde,RR'l,
WARNING TO 0 OWNER Y.,,,- , r I c d a Nofice of Commencement may r-sul your Paymg twrce-o
^:men men m-s. c oc _h o ne t`sii=
r n�1,,-rr-. yyy77.///7771II / n ir.a �{{-;e^.-''' ^ -j�,j =ttcmee be a-
STATE OF FLORA_ STATE OF FLORIDA I
COUNTY OF ( �j�lC]�'�� COUNTY OF {�X��Clr�
t i \
�y rt re sor i i
I _
BROOKESLGEiI 2r,._—�'.� y, >e2:5R00KESZQETI
- - ` 6CMMI5510NAFF2946.55 MYCQMMI53IONeFF2WS5
EXPIRES'.June25,2019 _ - :a EXPIRES.June25,2019
3r•'=e3-- ._ __-' ..cam— _
RCN- '_ON'.tiE SLPERV'SOR PLANS VEGe!ATICN VAN6ROVE
REO-A, REVIEW - 3EVieW REVicW n'=VicW 3 ..11 E`JJ
I'
0
:Z Z Y Z Z Z Z Z Y Z Z Z Z Z Z Z p.
�4 O C O O P N yA b N N P V
2 P O O O O O O P O p�o YPyR� d � p d
FJ U =
pKo is 3
� A
9
4 G
WU yJ `q Q
9
a a
rc
N N C c °
0 a�n0 q �dd
w �
-pzp
N o cz mQ K a FB ';� F Q �_' ?, a 2 C
°G �� L N pW (6 VJy! R J�J FA p ® SS E
Q ❑ IIK1 J R� O s O W .q, pip A m m C ._
N a m �N N k 6J. SQS6 P p LE
a[It
®uYS 16
� w �
w � U
W
- F w s
V �
i4Q0z € 4
N
�C
Z
r o e