HomeMy WebLinkAboutBuilding Permit Application •
i
ALL APPLICABLE INM MUST IE COMPLETED FOR APPM1171ON TO ACCEPTED
Date: a` - Pew Number.
'Al una:) a�on,
Building Permit application BtoZ L.9 itlp .
ftnning Md iX-veftbPJ3H,i'?tt-';eV d'eS
Suilding and Came flegdadotdon Masion
2.:tQ Virginia AYenUeFOJfPiE=e FL 34M
Ptlone' .rn?.} 215'53 Fax:(M)4%-1578 Commercial
PERMIT APPLICATION FOR: T�3 � �c�ra d�� X,
crick affow-at the end of Jhe
Address: \ \�(.1.\\�.`.361� Po t St Laic*aA4952
tLe escrag t�sanopwtaf 34'4-501-1701-4 -Sparish Lalms CM
Proms Tax ID : Last NO.
Site Plan Name- Bldg No-
Project Name:
setbacks r-ront . Pack W _Siale: Ldp Si¢le.
� E �--. i7
��y7�"��:•:.1.� �L.d�wt'.t �a i.pm,)�i ;..J^ 1plY 0P3�'a'd'^�d i
f
Demblifion of mobile holne
t
1 A7 ttionat wori:t(] a De,rormed under this perr:ift�all Oshutters
apr�iy:
FF
y
OHVAC Gas Tank as F°ilsir� _ F1'k�lir�desJ®Dors
Electrac 0 Plumbing LJ Sprinklers LJ Generator RoaF
Teta]Sq.,Ft of Co nstrttffio is fit.o,First Eldatar:
Cost of ConstanzCre:$ -"C� Utilities: er OSeptic Building Height:
S� aJ.I u•i'S�i�iiJ...:>.w.vm L. $ Y.�-N�S a�C;M1e.Y'p�tl+,e
mame'h irg C"-PF4fW Alaine. Matlhew Lyle�Afy ne
Address.SOtD SOUth SAS 1,Sim 402 Coanpany.Wynne DeveloprneM Coiporofion
Cfty.-Pod St.Lum3tate:� Address. 8000�U$1.She402
34M Fa)r
Picone No. -8713 Zip Code_ F .772-87843224
E-Mai$.3 tWflr r- Phone tjo. r7724YIS-s 13
Fin in fee.dmpu-nee HOMW tm nod Pao N d"Feresat E-Methmmewrombr-Coln
firmnStere Or County l'scee:
9f value of construction is$25W or inure,a RECORDED notice of Commencement is required.
=.
PPLEYV€i NT-AL C0P4 1 F�,�i ION LIE LAWl�l����1�{i,��i z-
DEsiGNIERVEWGI IEERe W
Not Applicable MORTGAGE COMP ° _Nc�t Applicable t
Name: Name:
Address- Address:
Slate; City;
State:
City: 13itane-
Zip: Phone: Zip:---�--
FEE SiMPLETTTU HOL010 a Not Applicable BONDING COMPANY: _-j�49t Applicable
Name: Name:
Address.- Address:
city; cdy:
Zig_ Phone: Zip:�_�Phone.- .
I certify that no work or installation has commenced prior to the issuance of a.perziiii:.
St,Lodet3 riaalzes tac3 re�resei�tatson tkiat is grarating;a Ia uric autiacare 4e theaet[aaiic holder o bLailde seabjecE stauare
�srhic�is ua.canIct ttuitl'ian�:appl'icaiale l� ae�aaers ASS�a�;ia3��n rules,�ylaUrs Ear an CS3Ueiaan;t4§'�13at enact s�serist or�ar0l8IP3i�stack
sixLacCvt .��ns€alt your floarie�r;��ssfsciataoaa grid r�trle�st your gleed fear angr resl�B�iorLs wski.inaY aplsi�'-
Inconsideration cfthe gcanting�oft its req ed permit,i do her agsee'�ts�t q will,in all respects,perform tt�e�erark
in accordance wiMthe approved Playas,the Florida Wilding God and St,.Lude-Coun y mneadments.
The f ollom4ng bisalding peenAt apPlications are exempt from aieidergoing a full concurrency retie=room adcfi"itions,
accessory struetures,smm 'g POOLS,fences,walls,sign!4 smsen rsa s and accessory uses to anatkIter non-rresldentiai use
improvements to your Property.A of Conunencernent must be re-c-orded and posted an the jobslte
before Lige first inspection.if you intend to obtain financing,consult with lender or an,attorney before
coo enci. APs or recoEding V ur Hodce of Commencement.
s
_.,Sgpatura of dimer/.l�ee/,ftent~ Signature of Cont ctor/ticeaise Holder
STA �FL DA STATE� �t3U73Sf�A
CGU W OF SLts e CGU ,SL Laurie
The fo ung instrumea�t was adcno�rleclged ane The•forgoing_instrumemd ems as urledg��/ re rage
by
by
.�ttalt )Lyle yvyrn_' +tiFai�7teivLyFe WYr¢t
(Name of person acknowledging,) (Name of act€riovrledging}
i
_ Si' natureofNotaij .ubfic--state rich) re of Notary Public-State ofFlo
�
Personally Known ^" OR Produced Identification Perzonally€Known x OAR-ProduIdentification
Type.of Idents nation Produced Typeof ldentificaion Produced
Commission No. NlAGEE commies aaXo_ (Seal.
MY OgP1Ml3bION#FF 187647
EXPIRES:February 23.2019
s r 5t tSAN t�lAOaEE
' •_ FAT CUMM
EXPIRES:February 23 X019
RevisedV711512014 'f eon!et l'(xuNotaryPublicUndeaidtea
UN REVIEW RENEW REAREW R EW, RMEW RMREW
I�A�FE
,,COMPLETE
llti.MALS 1