HomeMy WebLinkAboutBuilding Permit Application „
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ALL APPUCABLE IM MUST BE COWLETED FOR ALA N TO ACCEPTED
Permit NOmber.
.. _.. _ .. Suliding Permit dip Ngcation
Sulkling and Ccde fdea�ta 106oan Mvision
23M Norginira.Awenue,,ForfPterce FL34M
Phone-- 2)462-1553 Fax:(-M)462-1578 Commercial Residential
PERMIT APPLI MON FOR: 1,6 f from t ropbox, craeffow at the end of M
Addr polt Lucie M52
TLS Descdpfiorr roof 3414-501-1701
Prase TaX4 ID Lt NO.
Site Pura Name: Block No.
Project Name:
Setbacks Pren't Back- Right 57iae: —Left Side:
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DETA,52LED DESCRYP3ION O=
-INT 'ENLMI IF
MPSMAIEPWOMNEERo Not Applicable Moi �� �COMP: �Not Applicable
Name' Name
Addl}ess� Addy
City: State:. city: Mate:
Zip: Phone: Zip: Phone:
In PTBT HOLDER-. _NotApplicable oM(5 C P e �t Applicable
Name: Nalrle
,address: Addy s:
city., C-rLT:
MIX ZIP: Phone: .
I certify that no work or installation has commenced prior to the issuance of is perms
St. ude Raremakes no representa&m 2.issgrdntinga. ` tyil a ^itlne it&solder to�dxild a s�laject straictsdfe
which isin.co - icct -aes�appl tale 3 dine overs Ass-omI tion 1ep,ka ae or ar�d�eriants mat may restrict-or prohibit such
strucMm€?lease consult your biome oud$sed s s ' and sem csur dec=d for any restrictions 1ch.may apply.
in-considerafdon of the granting cads requested permit,l do he¢e y agr that i VAR,in ail respects,perform the work
in accordance wM the appron+-ed plans,the Florida wilding Codes and S.Lurie CDunty Amedndrsaernts
The following building permit applications are exemplt bona undergoing a If concnarreemy mvqqw.mom additions,
aecessasgs Suess Tee,sMmsiaad.-Pooh fences,walls, s rnd aceessdary uses to anotlw non-residential use
improvements to your prop@x ty:A Notice of Com mence n. Must be recorded and
fisted on the jobsite
before the first'Anspeetion.if you intend fo obtain financi€S& onsuit iuith lender or an attomey befof-e
C0MMtn_G_fM W01t Or MMT
din your.Notice of Commencem, est.
s
_%Wature of Owner/l essee/ftent Sign re of r License Eloider
STA'• FL DA OF FLORODA
Muff"OF �dss�e COU ;{ .M
The fo 3ofng l ent aek iedged ire me The, oing.i m tis ackr mWedged b--foo
tlsis �' of- c .Tr. �. t of�. Wit— 20 by
Matt rLY I z t �
i azpne of R r novwledgang) (Na of person ac mowledgln
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Sigraa27aa a of l�QaP PtdEnfic- o¢ a ti3r£'(Sf l�1d51 a6(�kPlAliG �lordd3� 1
Personally Khoum " OR Produced ldentii`c3 iDn F all{Knmm x OR Produced ideirts muotn
Type.of ldee tfflpa Bon cducecl Twe ldenfi=tion Produced
Cognnalssidat X30_ ,.,,;_ _ Corse pssurn No_
GE
* MY COMMISSION#FF 187647 SUSAN IRAGEE
6, relxfary 23,2019F
1��4$V71.151� "�11,� Bonded7hrutiotarvPublicUndervmters IUs ^2019
! �� ti '?,= lHES:Feb 23,
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