HomeMy WebLinkAboutBuilding Permit Application AILL AB LE IM MUST BE COMPLE19D FM APNXATIffW TO BE ACCEMD
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2WO Virginia Ao aae;Fb;t Plerm FL.W
Phone--(772) 11553 Payer ) 1578Commercial Residential
�PERwr APPLICAMO 3 FOR: `� Se3ed from drapbox, hack SaTat the and of rra
PROPOSEED RIA PR• ere d -. S Ob,.-n_�Ox•,
Adder 59 Mediterranean North Poit St.Lum 34952
TLegg DesLdpUon. 94- •g-170,2- - fl�Dmi
:Pr¢operw TM.IID#: Last No.
:Site Plan Name: Block No.
Project Name:
Setbacks ., front Bac'! wqghf sldea. Lef Side.
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Efectric Plum fl ing Ljsprinkiers 43enerator Roof
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Cost Corr �a saarea 5 0.0 0
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city. PW Lai .StateP Addresser SCUD ROL4h U$t. ifte-
Zlp e�X952 �7& ..Pod,%Lum state::FL
Phone Mp ode.34M Fes.77.E-87 4
fataa �&5513
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. air ate) siate,or Comty L:ao-ense;
of value of consgn'=10 v 55$250D or more,a RECORDED Notice of Commencement is required.
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DE95R#ELRNGINE R: Not Appi6cable -MORTGA MMY.- � Noy.Appiica.bie
Hame• Ram.e:
Address., Adda- •-
City: State: t j: a te:
Iiia -Phone.: Zip:: Phone:
FEE SIMPLE:TRUE HOLDER: .Not Applicable 30NDD46 COMPANY., Not Applicab1e
Name: Nagle:
Address., Address:
city. CRY:
zix Phone: 7p: Phone- .
I ceatiryr• no work osr insfallati®n•#gas commenced prior is the lssuano:e of a owmI
1r.#:osde an rstal s 1 � ��1 l rig . a s #�a �tae er i la�a#dea s� €#d t#se.se rjea s n care
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s�a� �#eat r IF9 � *�rs sdalc�3n a�•rem�� deed�r a�q�resc€fsor� #�°u�Y
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ice ae�� a�+� �-ae���� -#r#a�s, a�& e i#deaa��x arad��..E.�a •¢�cer�asge: ases�s. •
brae fellow ngbilikling.est appric dons areaxemptfmm undoWinga full sO Fre re-Aew..roomaddWonq,
aces s yyr stru=ms'sera na Po*'mss ,Walls,9WL,%Smeen rooms and awwwry asses toamthw noea-�entw use
Yaw PM009ftice for
improvements ents to your prippe A- atk&of icommencement must be-rord and post,on the jobslke
before the.frs�Inspection.U you intend to 6biain financing,consult-with ienderor an attorney be.fare
co wk or remrdlng YourHoVce of Commencements.
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_; grsaFsat a fr 63tsa er / as 576cM ae a Of Contract6irlUcefise Holder---
STATE
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COUNW OF SL LWL-
fhe forgofog ftw4 mens was:admmwedged tae Im '#hL—forgoing•InsFrumeautWpsa os #ed oy ears
psis 2�d day of- 2D L!!� day of
�721is.�rrLyieitlr�rm� 1Paffi�rtyewyr¢ra
{&'dame of person a ;fl rJ$ ng
(Name or#se• acmowledgsr#g4
Maw lRe- fe € Of Notary ## s #onda)
Personally Know =x- tae##g# � aaa x
Tyae.of€de c a ec7— M1 y f --FMM CR t��Odu e i
Type of II elm::
ii� ;�? MYCOMMISSION#FF 1875+}7 � `''' PAY CdMMiSS10 �#FF $757
C3rf3rtifii§Ssf� $AL3. !: :r+ai
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Bonded Thru Notary Publio Unden�dters «i'c;;•• ��•'
Bonded Thru Notar;Public Unden-Aers
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RevbedD7115/203-4
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