HomeMy WebLinkAboutBuilding Permit Application ALL APPLOCABlE t o MUST BE MPR APKWAUM TO BE ACCEMD
Date, Permit Numben
- Building Permit ApPOICa don
Manning 0—evelop enit'ge Ces
quit IM and Cede Rq_wI n Mhslon
Phone:(772) 21553 Fax:(M) 1578 CommeFdal Residential
f PERMTr APPUCAMO 3-FOR: 10 Selectfkom dropbox, tack allow-St the and of r ..
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+ A i'.'uii �vi WT :!j�3 rTi• �. d ov'bre�YttiUY
dd : -_6_ Poft St Lude 34952
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pwt of 3414-MI A701_,0 -Spa' a.L O
:Proper Tax IID Lot NO.
site Plan Name: Bloch No.
Project ata '
setback . Pront Pkzc1- Right Side--_Left Silo
� ts•EI ¢A>...ED !¢2.SR> i :. 2 t0:'-i `6„!K �.C��:f�0't sK.
Demolfon of MiDNIS home
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A ►tionat wor:c to • e K)e,rormeg-I under this permit-ceL all MShutters
appy: i
CHVAC OlGasTank l Gas Plping _yy I Wlndows/Doors
Se�rlc Plumbing Ljsprinklers Generator 11oof
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Total Sq.F;of Const cacti m. �7 FL of Fat Floor:
Cost of C a°t.0=br9>$ sewer seoc Buikiing Height
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IN3aMeIJ ' a&M ft Cwpomfiqn j�jsaraev Madhow Lyle V Iynne
Address.�000 Som US 1, 402 Comp,any.Wfims Dwelopmwt Capora3
cftr Fork'SL Lucia StzjeaFL Address:MO iia US 11,Siffle-402
Mp Cones 2 r- .M, ±78-D224 ;C'ija:Doric S,l.uciagg_FL
phone food 8 13 zip codes Fa=772-S78-=4
' a"slog �a a Phone No.77-2-878-5513
Flit inma-S&OPU nft NMW6M nw,t paw("N da- Lowaga SSM lh . : 1r_
from a�) Mate or County l €tee; �
Uf value of or There,a RECORDED fi atice of Cvn=enceunanva requared.
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PPL��V§t MA C NI.STRUM-1 %--3 LIEN UAW 1k I ORN41�-��ION=
I U 1 1 4 Not Applicable ORTGA E COMPANY: Mo Applicable
FiKlame- Name:Address: Address .
Ci'tr: er Cp'-jj: State:
Zip- Phone; QIP; Phone:
FEE SIMPLE TM.E HG R.!4 —.4 of APPltcable 50NDING COMPANY. Ap llcable 3
Name: Name;
Address: Address:
city= .. City:
Zip-- Phone- ZIP: 'Ph e-
I certifly'ha 3161 works or instWlation has commenced d prior w the jssuance of a•pe3$F8&t;
5 .f cager
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Arae sa9lCewirag#s ii a g.pe apprmocmS aM42XeU#fMM asst�ing a fUll CQn=M ea a s mom adns,
ac eassrsgv sirRa su ,s s ag Perls, ,walls,d--nS, esn v0mS aszd a r v vases to anothw non-residential us,
rc Wfice for
improve encs to your property;A ticii!Of UlDmmencenmnt must be recorded and on the Jobsite
before the first inspectedne N you 1 Mum d to€abtzon Einar dng,consult Vith Iender or ZIR €a ey before
commendM wpOk or,mrding. our Hatce of CoII`-menceme to
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(Name of pemon aa:know3e4q&p {-lama,of persdst acknowledging
i S$ 9 C3edt(�t Pii�3iP $�i 6�yq¢2) � "f�@�sature-f Notary Pk:Pbi6- tate Of�83 �a
Personally Known = OR Praafteed Ude 'on Penally Knas a n OR Produ ideaffimU stt
Type.of€desu i�don Pa vnr-e� �VPS of ldemdfa aria Paaa�tss. d
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US�MA# a �MY COMt��I18"t647 a, SUSAN MSE
('OAIARISSION#FF 187647
M�?� Bonded Tbru War/public l!ndznvdters FXPiRES:FP,Oruary
fronded Thru ticiar�Pohle t}ndz renters
MEW REWEW
COUMM. REVIEW RE REMEW
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