HomeMy WebLinkAboutBuilding Permit Application ALLAPPitCAKE RM NRW BE COL9 LEM i4R APPIICA'IYON T 8E A0CEPI ED 1 1
Date: Permit Number:
Building_Permit Application
Planning wrrd neveftwmmtserabes
BuMvand Code RegrdoNoriDlrridon -
?.3W WijhuaAvenue,fort Pkrw a34982
Ptrww(?72)462-159 Fax:(772)4621578 = -Commercial Residential
PERMIT APPLICATION FOR: To Select fiam dropbM Glick arraw at the end of line
PROPOSED.IMPROVEMENT LOCATION: : c
Address:
Legal Description. s C.-rJ o 'Iff 73
Property Tax ID ft_tom 3 a� '�^Qf,��)f C1 l d d a 3 Lot No.-Z-,&�
Site Plan.Name: r� t3bdc No.
Pro4:.
Prot Name:- ��__ SZ de
setbacks 'fent Baric ht5de: Left Swe:
DETAILED DESCRIPTION OF.WORK: .
CONSTRUCTION_INFORMATION:
AMMOn8l WO W0 med under is permit- a * ap
fjHVAL TGasTank t__..p as Piping _ - Shutters 0 Wbdovrrs/Doors
f r -
�Eler ric Plumbing Sprinklers QGenerator Roof
Tout Sq.ft of axotruction: r i .FL of Rat Roor-
Cost of construction:s Q U`�-/ ut-am OSewer Useptic suNing Heighe
OWNEWLESSEE: . coffmcTOR
Name Vt Name: 1va
Address: CO 'e.-S !/ Company: Kirxsg, rtc
Y: State: _ Aridness: 3 C Aces, M 1, r
� rie
ca :; 3`t` r Fax: ! �
_ �,. �
Phone No.." `? 7� —9'2 � Y� �3 S Zip Code: WF= 2 %6M
E-Mort: /__V 41 Phone No.
FM infee nrpleTi k&96w on fma page(WdrNfto t E-Mar"k
from the tiwnw wed aWw) State or Cou ' rrse"
R vahre of construftn is$L*00 or a ttoRioe of Coarrrrmratrtis sraepTred.
. ,... . a., . JA, .
t{.
vno,
"F
_ . 5
rb
zi.
a_ "
t'r ,
t3
f
DESIGN GINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name" Name;
Address: Address:
X11: state: C"ityr state:
Zip• Fhtarte: Zip;,�„�,__�__
Phone.-
FEE SIMPLE Yf TLE NOLDEW- ' Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address: - -
+Chir• c kri -
Zip: Phone: Zip: Pillow.
1 o;trlify that no i wk or lnstelktton has commenced prlorlbo the lwjwm of a permit.
SL c>rraloes no rep r that Ls grantfig a aW
Moroam� i r�drl� �h
wfii ►'�s with past Home Qwners Atsoclat
11
structure.Please corfacr[t�wiyclsrr Home Owmetts Asaodatiom and arty r+�a whldr may apphPi
In oanslderation ofthe aranft of ft rtequesit d permi,1 do hereby 9Vw that i wifL in all respect,pe awlin the work
all alcocrdanrce with the approved plw4 the Pmirla 80dfng Codes and St Lude County Amendme wL
'Ihe=mwftI unmftpermitappuwftn areewnwtfrom undueafuN'cancurremq redew:room a&sucns,
CV-41strudtures,swimming poor fe aceesY waNs;s s +earoanr and a=essorir uses to wwdtir non-residential use
WAWWGGTO OWNER:Your failure to f wrd a Notloe ofCommenoerl"t may result In your4oaytmgtartardor
Im rc�vements to your prgperty:A Notice of Commencement must be recorded and.posted on the jobsite
be the first Inspection.If you intend to obt=,%.a=1Aent.
consult lender or an attorney before
commen Work or recordin our Notice of
reofOww.AWW S pawmof Caigactioi Holder-
STATE OF FLOIRDA STATiE OF FLORIDA
COUX Y OF: •-fl.�. ____, +Of tiflfiY OF Sok-�^-L++�4..
The fc>e hxrtnrrmemt was ada�loadedged me 1be, hUbumwrt was adcr>wtnnrkged befiOne rarer. a
"J-A.dayof �,20 WmY d* dailyofl20_2 by
�A� famo€p> ntadcnoet �
(Wwhrre of Public-State of ) ftwtu[e of Notary Pubk-State Honda j
Personally Knrawn OR Produced IdenittlikationPersonally Keown iOR PMduced Idewti#kd1on
Type of Identification P.rotuced.—- ,.,__ Type of Iden0n cion Produced -
4r s v'n'�B LAOMArINA I a
t�Nt7t. ;awn ,..`� Notar, �h'c State of Florida -
_ =My Co uri,c pires Dec 20,2018m
Commission#�FEhZ7249 " ,.. LASHANNA INGRAM--_
��4pRY AiB�
Notary Public-State of Florida
► w•4 yComm.Expires Dec 20,2018
ta:visedil7/151,t{II4 Commission##FF 177249
Bonded through National Notary Assn.
REVIEWS • FRONT ZONING SUPEMMR PIANS VEGETATION SFATURtIE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW RfMEW
DALE
COM
PLETE
�.: � y
_ 'a. _.. r .. < ... . ..� y
.. �,.. � Y
-�, •z., 4�. ,r
,� ,
�Y�` .. ...� ., .. �_ �_� ..: «....... v.. �,... .._.. .. .. .. ... ....» ...,._.....� .. .._>. ,..<,... _ .. .. ... ..... _ ,,... -. 'fie � i,
.. ,}
�' � .� +.,".'t.-.. ... .. a ..f � .� � ... ..ice'. � .. _.
, t ,
r
._ ... ._ � _ .._ � .. ,.._. __ v .. .. ,. �.. ...._., _ .._ ... _... , ...... ... �r,x' ...
A,
. � �
4 .
a
` � ,Ti. .. _ � .�_._. ,. � . . .. ,
.. ,. }...,. . � ..^.�R
' ? 7; � .
_ .. � r T'.'-'
t .
, _
'4
r .�. ... .,.. .. ._.. ... _ ....
f