HomeMy WebLinkAboutDavid Hall PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Perm ,t Number:
Date:
?'onnina and Deveiopmen[ SarVices
3ciiaing and Code REGU'0Jpn Division
230C Virginic Avenue, Fort?lerce FL 3-°8i
Phone: I772)^62.1553 Fax:(7721A62-1578
PERMIT APPLICATION FOR:
Address:
Legal Description:
Property Tax Ir):
Site Plan Na
Project Narr
Setbacks =ront,
Building Permit Application
R
Commercial! esidential
Sack Right Sjoe:
drttona workto be pe Orme under tn6
perrnu-..��� - "
- -
Gas Tank
Gas Pp'ng
Shutters
—
_.
—
_Mechanical
,.
jPnnklers
6eneraior
P_iedric _
?ium�ins
._.
_
Sc
Ft o4 Firs::-ioor. _.
-C-al SG. F* OT Constructior-
_
1
\
I�n .<�l
-
UtliLes:
Sewe —Septic
—Sewer
Cos of Construction: S
Name
Address. W 1
I-\ S?ate`
C1TV: 1
Zip Code: Fax:
phone No.
r -Mail:
Fill in fee simple Title Holder on nexi page if different
I' from the Owner listed above)
Lot No.
Block No.
✓ `.Nindows1DoO'5
Roof
Building tieight:
Nam _ Jf%I�rl ;;,�
.Coi
Address: Ito o a»aw
1�d.ian }�arpwi
�2sch State: i r
city
lip Code Zz`r3�-- `ax: 77- IZ3�
Phone No. 772 537- yLI ZO
Sta.= or Court Lce�se
required.
�-------
if value of construction's 2500 or more, a RECORDED Notice of Commencement is
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY _ Not Applicable
-:
Name:
Name:'.
Address-
Address:_ _
Gtv: State ! City. S.
lip: Phone: Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: _Not Applcable
Name: Name:
Address: Address
City Gty
7ip:
Phone: Zip: Phone
ry tha, nc work or Is aI!atton h s commenced prior co zhe issuan 0m.t.
S _ud2 County makes no epresertaiion :ha* s ,rzrting Ir m.: will non<e to P&-'.- ° Ldehzr. r,a l . eye i unrzcz dr pro? oc -Jcr
which is'n conflict with any aoplicabiE Home own s AssPuanon rules, 5y. w, ora c dv na _ V
structure. Please consult with your Home Owners ASSOCaVOn and review you deed or any res icC-ions which m y zpP �.
in consideration or the granting as. h-p
is eques e- e it, ' d h relay 2g e 'at ! w �I! �!! 'asp:Perform the work
in accordance with the aooroved plan, the Flor d2 g,;i!ding Codes and Sr pie COun v me"_m nts_
she following building Permit aPPlica ions are exemot f*om Undergoing a Tot, cocu. r ncy review: oo-n add ;ons.
accessory structures, swimming poo fences, walls, signs, screen roo•a ana acce son, ❑ses m n -her no:. �sidenaa' use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice fo
improvements to your property. A Notice of Commencement must be recorded and posted on the iobsite
before the first inspection. !f you intend to obtain financing, cons❑It with lender or an attorney before
commencing work or recording your Notice of Cemmencemera.
_ Signature of Owner/ Lessee/Aged' Slgnacue c' Cc acc-i ice"se tiolder
STATE OF FLCQ I�D�A STATE OF FL4MI,D^A
LINTY OF
COUNTY OF i li�la� d
CO rif"�I
The f o:ng Inst. omen-, was ackco 'edged ce ore. le
i h2 Or OInQ n - /=5 3:knOwLaa�2C J250rc -!..
.hie or 2C b" *his dev ^ "U 4 o`
- S
i, of o on ac'
I tical 2-G E' IC - FIpL-0c '
ter ail !Deuced �aeccificaoon
tee, n t R' r d c c loe'tff ca.'on
!Type f i . rod'u e de '
Pnmissio 'a BRObKES7JGETl Commis o.°'" M`+COMM�ISSONpFFP44655
- ' •`- MYCOMMISSIONFF244655-
c.i r-
9ondedThru Notary Public Underxdters
Re1zsed 07! 13/
,prcya:' 4oadedThw NotaryPudlic Undanmters ''Rt"@•v
R E'VtEWS FRONT LONI NO SUPERVISOR PLANS ��t�. cTA''.10ti �c--URd- N.^NGROVE
COUNTER' REVIEW REVIEW REVIEW REVIEbti REJIEVv REViEW
DATE
COMPLETE _— --.
INITIAL c
3
N
0
Z
N
A O A iA A fR
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
O
3
8:
3;
8
m
8
iy.
e
a
9
S
s
"Dom
�pom
ti
� ON
m=y p
m Z
'0�
CT
ppm
O)mN
M
5
x m
m
N O
m CO
w m
� m
i
L
u