HomeMy WebLinkAbout1806 w booth dr permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Building Permit Application
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PERMI T APPIICATION POR.
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"Cc ;O* S _,t'lities: _Sewer _Septic Buiiding Height.
varye ti C Name:_ ol'1C�...1. rck
_ ' Company: M fv/fA
Address: ii`05 `'c,aGhj:,k Di
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Phone No. 772 337-4/70
i Fill in fee simple Title Holder on next page{if different
mom the Owner listed abovei =_a:=or Co rr:License x
If glue of con5trtrion is 2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER F ycr Acclicanle MORTGAGE COMPANY: _Not Applicable
Name:
;duress : Address:
sate, 5t�Te:
Ph na. _p phone:
FEE SIMPLE TITLE HOLDER =o0licabie BOiVpING COMPANY: _Not Applicable
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perm o+der rc ou,ld the subtecx stnfc':ure
that-rag rens it or prrshibit sLcs••
.mons wnict may apply.
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i - - _ergoing_`,�I _onc r-ency-ev-eu-room accit=ons,
dM1d accessory uses tc—Other non-residentlai use
WARNING I O OWNER Your tailor ,Record a Notice of Commencement may result in your paying twice for
trnpro"- .eons to tie ' - o-ir encem2 t Ft:est be recorded and pos=ed on the jobsrte
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S � STATE OF FLCtR A
TATE OF FL
COUNTY Of COUNTY OFA l�t7 1
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