HomeMy WebLinkAboutBuilding Permit Application ALL APPMABLE INFO DAUST BE COMPLFMD FOR/Pr ��"naW TO BE ACCEPTED
Date. Pe it i mime.
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sufldihg Permit A oksta'an
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Saro8Ong wd RegWeVan Dhfori
VorgonoaAwA se,Fort-Pierce FL 34M
Phonm 2)4621553 Fax-(M) 1573 Commercial Residential
tPERMIT APPUCAMO -FOR: To Se3edkom dropb=, d'ackeffowatte and of Me
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:Pranp ww Tai ID - Lot NO.
Mte Pima Meme. 'Block No.
Project Name:
setbacks . r-Tent Back: RlghtSida. Side.
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De mon of rnobale how
A tttortaipro, ca Ane,rormeafin ert ts.perr-lit—si3eea:k� Oshutters
apply-
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OHVAC10 Gas Tankas Piping �a kfindows/Doors
ifectdc Plumbing LJSprinklers 0 6enerartDr Roof
Tota8 Sq.Ft of Cans Sega S 4 FL of Flirt Floor.
ars
Cost of Corasi re.$ ElSewer Ospoc B�sp�ir dei �
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'CONT.P9J`C i r,:vim
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Y M Car-pombon Naamer. kMamenr We Wynne
Address:8000 Sculb US 1,Sim 402 Cornea nye.Wjnne Dew1opment eprporanon
Pool St suds stateaFL Addrrem 8WO South US`d,.Snffts-4-02
Zips Code: F -fib 4 ,.Pod SL LWe
Phone fo ±7 13p s Code- � � 772-87843224
Mone
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Mone Woo
.772-878-5513
:tom m&amw p state or Cwntv License-
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nse.Qff vague*I constUS7wWn a5$250D or ra cm,a MCO €D luctice of commencement as requarad.
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�1 uilyraplcable -MORTGAGE COMPANY: ^h .oApgllcable
Name: Nam.e-
i Addressp Address-
Zip: Phone: Ply®ne-
FEE SEMPLE°TME HM-MR: _Not Applicable :BONDING COMPANY-, ----Not Applicable
Maine- Name:
Address. Address:
cit
Phone: zP�.�,—.-Phone-
�IP:gs,
I certffyno work or installatitan leas commenced brio r to the ls!juance of a•moi.
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ct�ue+e,.�le��i€a�ilt fur�•l�te hers s�ssit�al�asn a�res esti:deed fnr ang�a'e �cinns bc4& .a��ii►-
da°i,considesWon of thegr6ndngoftiis request6d permit,l do.hereiragree1hat i teA,•n all respects,perform the vmrlc
in accordance wtse approved plans,the Flodde Building CDde.5 and SL Lude-County-AmOnd meats.
The fellowingbOlding peicinitappl'feaffioi°nsare-ememptfromundergoing a full s.QssgATencyrefer:mom adito A
accessory ssrutwres,sena PSP lenses,walls,sigsts,scmen roms and accessory uses to anadwr non-resideroiai use
��1 ����S�9a;filc�rffae9�rre;�•��� � � Willi_u� 'a fir
Improven,encs Tz your prape .V A fttki,_of Commencemerit must be recce&' and steel on e IDNJte
before the fir .lnspectidn.9 you intend'O ob aln nancln&consult with.lender or an.atto ey before
Signature of Contractorl€iceabse
.COUNNOF --miwa COUNTY OF n- Luda
The fiorg ing ftwshwmen.t was,admavWedged before me he-fargping•ins�w. mervt e s acl=w=edged hef6se arse
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MEW—LYMwy�
(ba=ste of peen acknowledging) (Name of per-son ac,&mowledging}
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�45i6n'atdire of Notary k'ubric Sim coad da) 5a;ii`ai re€sf Notary Public-State of Al fffia) �
Personally Knot � OR Produced Uden ffon Personally Known x �lR'?�rodts�d ldenifficaden
Type.ofld0nt ;adon,Pmducecdd �., _ :TYPa ofides WwationPrc4uced
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�Gt3mmi cion Tits_ Y° COM 145S F 18i6fi7 cP BaiiS p� 14;_5 4'P SUSAN MAS:;V'= §eaal F
,-''x¢ :` MY COMMISSINIT
sty EXPIRES:February 23,2419 ;,_x. +.
ar. ' <_ PIRES:Ff_4,t -,Y f3,e)19
8`$ anaz i m I .
kr .--- — '.?;, •' Bonded Thru No:._
�9fE€tfS iZONINGSUPER 0R �S QUA E� SEKii •�GRDVI�
l�s�'i�� REVIEW RAE R REVIEW 9 1��998 1
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