HomeMy WebLinkAboutBuilding Permit Application A>LL AMI KABLE IM,MUST SSE COMMEMD FOR APPMAWN TO ME AaEPTM 11-1,
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:Proparty T=.IID Lot No
Site Playa Name: Block No.
Project Name:
Setbacks . FrontL- RlghtSada Left Side.
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auric Numbing L_Jspiinklers E Generator
Traub Sq.Ft of Canstr ,aor,r o aS Fiat Floor:
Cost of Constauceon: 5 0 0.0 0 ]Sewer sepuc wl"'a' _Ne!g t
HarnkWyLnm E&AIrg m n ITaaraee Mai1hew Lyle Wynne:
Address,,S00 Sotdb US 1,Sift 402 -Company,'a ne DOW)OPMnt Corporation
MY.Porist.LUC39 StateaFL
Address: 0 30ulh'US 1,.&de.402
ZiCode:� Fa€. 6 fib:F' .b=-e
Phone N 772-87' IS -.rjp dee Fes.772-8784=4
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SUPPILENAIENIM CONISTRI $?0113 i,:iE:k' UAW'WFORNfi-, TION:
Not p{cable -MOR GAGE COROM . � otApplicableJ. i
Name: Name:
I. Address: Address:
C;itj: e: � State:
Zip: 0 one; zip: ' Phone:
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KE P TME HOLDER. _Not ppiic�able :rAONDIN tO P YR �pt Applicable
Name- -Name*
Address- :address:
city: MY:
Zip: pane: p:, "Phone:
I cere�;r�no work or installation.has commenced prior to the i nce of a•Perm L
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ha is ata.a o do n ast a phi b iv�ae i s s #sera noes, a as a�aan ?�etaaat l� aa�s esa sari aar a iti a Su
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on of he gr ae,t mg antis_r��dd it.l o..here -agree'that 9 VAR,hi all rtespec� 'perform the vuoric
in acccoa4aanm� e pa:�9t �aiaans,the Fbdda 0tailding Castes and S..Lude•t otaetyAmendments.
Tae ellowingbifilding.petrsnit ap'plii±�ons are azemPt fse m undergoing a fell COMP ren�v sprat additions,
accessoTy s° as u ,scaa5 as peals,fences, 0ts,saw screw ro s and acce=ry eases to angther Gaon-rides-dal use
improvements to Your pfropea° A fttk&of Cammencenmntmust,be recordrecorde6 aiW posted on ithe obsite
before the first-inspectio .if you intend to€abtalnancing,consult with lenderor an alto ey be-fore
cqmmeymM work or i' rdingr yoUr Notice of Commencement,
;s#graaFaere a ales eek �
Signature of Contractor/License Notalea s I
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SUSAN MAGES SUSAN MAGEE
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MA, EXPIRES:February 2.9 2019 y�F� :Q= EXPIRES:February 23,2019
P.onded'i'bru Nota Public UndervAers F!''%2• �:�^
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