HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUS* BE COMPLETED FOR APPLICATION TO BE ACCEPTED
�e-,.r. Number
Building Permit Application
r.or_ »z r -a 22. -16 2 I;78 Commercial Residential
PERM i APPLICATION FOR:
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Des G-in'e'o,n
D.Ooe--.. 7a.
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Name
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Back
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Rig-, side -eft Sime
arjonai work =c be percrmed ence-mis'e"', -
nr-�F:.-niCa� Gas -_nk Gas Pio;ng
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BIOCk No.
ShuTiers Zwindows/Doors
Generator — oe
Sc `T. Of Fir s; -iOCi
;Tdities._Sewer _Sepik BuildingF,eight
_ Stale:
Cone: 2 � S A A
^a, ✓� VA
=i1 in see simple Title Holder on next Pagej if disferent
'tom the Owner lined above;
Name: oro-, S�
yipCompany: hi
Address. '�� O^-Gn0.4J1 Di —
Cty: _",Jl n.�n�r>r,:�.. zoch Sate: =t
=o Code: 3Z43 7 3Zi-777-1VUJ
Phone Nc. 77L-337-gg70
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I-, value of constrjctiorz is 2560 or more, a RECORDED Notice of Commencement is required.
MINING
DESIGN ERJENG#NEER: _ No" _011 ca=le MORTGAGE COMPANY: No, Appicacle
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It. �2te. Clty: Sta_e.
71p'. Phone -
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FEE SIMPLE TITLE HOLDER: Noi Appiicab:e BONDING COMPANY: Nei Applicable :
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Kill c Y.or z r z Ti older -o b'iidne subJzc s;ruc'ure
"o c - Jmc ssoa :�o 'es by lay.s o v s :hat ay • e'<r:C or oron:br <pcfl
owners _I>soC atcr arc -evEew y0 etl r anv f 5 . ct o'$ '✓nicn may -poly
v _ n I'. i- ! re c s. oe-C n-: -he work
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bz v rs b e e - o s r e?o c - rid r a:ng su oric- =_nee 2v'e+.- oo-: do eons,
2Cc2>seR = CC.I s. siJ-.:::1 n_ po s 'c tee_ wails s g'�s. c-een roo ns and accesso'y usc� a.. ano.o.. non as, de. use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may, m your paying twice for
-:prove-.ens co your prep= Y' . Notic= ^ Co' Mme^.cement must be recon.=: and posted on the jobsite
i_s rc e -s-see icor' r y u : i �' t ::.:r.a +ng cnw!t with Serder or as zoom=_y before
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STATE OF FL A ! STATE OF FLDA ^1
COUNTY OF Y COUNTY OF WAID 7
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