HomeMy WebLinkAboutBuilding Permit Application RECEIVED 10/08/2016 10:07
ALL APPLICABLE INF13 MUST 0E COMPLET911 FOR APPLKATION TO BE ACCEPTED
Datm _ Permit Number
Building Permit,4pplication
Planning and DmIopmena,4orvices
flad/d/ng and coda Repidaflon Dlvbfnb /
Z3%t Wiginfa Am-hge,Fort Pterw FL 34982 of
Phone:(772)462-1553 pax.(772)462-1579 Commercial- Residential
PERMIT APPLICATION FOR! 'ro Soled torn dropbox., click arrow at the end of line
Address
Legal bcva tptign;
Property T'ix is - Loo Nil.
Site Plan Marne; Block No.
tall
Project Mame;
$etWcks Front___ Bnok:�Right side,-Left Side!
_.._ .--
L 49
Wana wo "Orr, urs s perm L_c eC aOM/ACeaso Deas Piptrlg Olahlutellawr
Sters 111531213 �WindoursJl�oors
EJElectricQPJUMbirna ❑Sprinklers ' LJ Roof � Rcof pitch
Total Sq.Ft of ConsUpulon: Sz of First Floor.
Cost of Construct'ion:$ ��� _ Utilities; SeWer5eptle BuildingWelght; �,,,p
Npr1T� 1�ame'
Address: 1 G Company;
City; state: r Addra :
Zip cod;:%yt- FaX. elty� r stater
Phone No. 4c:---7 o%f Zip Code- A Fax:
1:-Mai! Phone No, 40.liz-2-1—
Fill[Jo fee simple Tikle Hqldef on next page(if different E-Mail:
from the Owner listed sab"e) State or County License:
if VO UR of tomeuctton!n$7,1400 or mora,a RECORVAD Notice of Commentoment ig required.
RECEIVED 10/01 /2018 10:07
DE 166a FANGINEER: `Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:
Address: Address-
city:' state: City. State:
zip: Phone _..– _.._..__.... zip, .r Phone:
Fir SIMPIF TITLE HOLLER: _Not Applicable SANDING COMPANY.11 Not Applicable
Name: Name,,
Address- Address:
City; clay
lip: Phortcn ZIP- Phone'
OWNIRR/CONTKAC'TOR AFFIGVh:Application 15 hgreoy madeto obtaIr a permit to do'thework and installation=Ind-ted.
I certify that no work or insmiladon has commenced prior to the Imijance of a pertnit.
y �ole cayr,ty,rrta n�represe t�tiptt that Is granting a ppermit r dII aunt arize the rtnit hold4ir to build the subject ruotUm
w et is 10 wn iai w� any piis��lt Home ownerI ASECCk7tiall ruien:laylaws or'ap C.venjintg that may ra�tdot r poor iibit such
structure.Please consult wit your Home OwneiPs A59oclation and riaview your de®d r any restrictions v" mwy .apply
In consIderation of the,string oftNq requested permit I do hereby agree that I tvill,In all respects,perform the Work
16 accoedanoew?ffi the approved}dans„the Florida Building CQdes and 5t.Lurie CauntyAmendmerito-
The fWawina bui€ding permit applicat€ons nre r_tcempt frnrn urkderaoing a full eancurrency revi,&w-.ruunn additions:.,
accear-aw stracturK$W coming pooli6%nces,walls,signs,mcen rodrni end eewssory uses to arivtheraoari-midentlal use
WARNING TO OWNER:Your failure to Renard a Notice of Commencerneltt may result in your paying tuufce for
im Xovements to your property.A No im of Co mnencemerrt roust he recorded and posted on thelobsite
bm0are the first inspection.if you Intend to gbtain financing,consult with lender or an attbCimay before
corrinonpIng work orf ndin a Notice ofCommercem
Ign✓nueofowrvrJAgent for Owner a
tureofCntrUctnr/L)rensaHalaargr
STATE OF IFLOR A STATE Of FLO R1
CQtINw of- C?i? _ COUNTY dF Y
T6ja ding ins eras aeknowled otore me The f ing li m!ur t?S 1 as acknowledg�rj,kiCre me
this day of 20! Y this day of L1 wA1�bv
Name•or Person rttoldns Staterr+eitt Name of pgr�an akina ttiatoment
Personally Known oft Fmclucad identification Perron-ally Knawn, V 0 1 produced identiwit€on
Type of Identification Type of ldentifttlen
Pro ut stJ Fraduced '
(3111!ji21,111ELOMEco
iilne o '•,Q,.j;�'r,`'''>Bm�edf6rurl (51 oat r a
my gFF 19+ $1 _ AYCpIMI If10Ntd
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REVIEWS FRONT ZONING SUPERVISOR PLANSI VL'GETATION SEATURTI.E MANGROVE
COUNTER REVIEW REVIEW REVIVvq REVIEW REVIEW REVIEW
HATE
_ IiECEIVEtr
DATE
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Rev.812/17