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Building Permit Application
Am MORKAB ABLE Mr-0.MUST BE M� FOR���%��i���� ��� �atea 0 8/2 7/1 8 Permit Number. . 0 r w Building Perilnft, A oicata'an ,rnd Deaa gpma ntS�evsces r�aari6�7o -,cede Resgauiv$bn Da4sSIon 123W Vinion raAerFmme,ForMerce IL34 Pboaea 2)4S2-2553 Fmr.(M) 1578 Commen3a3 Residential r Addr 1n Knrrh]na T,anP Port St-;<U 34952 4-50 I Property Tax IID ff: Lot Not - Site Flan Name: 'Black No. I Project Nme: I Setbacks Froot Back- Right 5JIdg.-- Left Sim: .i DemoUfon of rnabile how A onat wotfc co be ve,tormeN under this-permit–the a tb apply: � sHV�C has Piping OGasTank 1 E]Windows/Doors Sectric Plumbing LjSprinkleys O-Generator RoaF Total Sq.Ft of consmacuo a: SO.FL ma Fqrst!Hoon Cost of Consemcdorn.$ 5 0 0 .0 0 Uf ai"adSewer 0 Sep& wiciing Heigh � `<l 0dc. h; ,v��.,.00. j Maart>1iaM'me ELMIM Cor-pore o n Imaaa v. Mamew Lyse Wynne iAddress.200 81DIA1 U-9 1,Sula 4-112 Company.Wpna Dmlopmnt C orz-bon I _ ;Pori LUw StzXe..FLAddress:-ONO SOL1111 U$I,SlAte-402 Pasoxne 78-W9 Mp Cade: 772-8784=4 phone No.77-2-878-5513 RDin10 4-MToe h"d- r 6n Gem.PMV Mirka-Noma E-MeIL.Suaab 'gbf-� I from m awaw a-axi ate'a) Stab-9 Or CC Mty nse: I I = U>ivague of a oassoau as$zsD or aaizoa +y o3 nEmRD, € Rata aa` rasaeaeraaa�r��t ig ra: sa6Q��a 6 i fi l a applicable MORTGAGE COMPM.V. NayApplicale i Sae e• Narni e- i Addressr Addy : -City: Sage: Eia). State: -zip: Phone: Zip:, Phone• eO�DING COPANyAFEE SIMPLE E HO C : Not Applicable fame: Address: Address: City. rw., � : Pxre.N Zip. Phone: p I cer8 tha no work or installation.has commenced prior to the lss€aance of a.permit Lhhc�:rco ar ,s sal s re r se nta# nre sla'�act r thiTY applicable i�c mess�so���r��Qes,�a�nrs�asn �>ierea��a��►� �•�p>'� a� rsuease o It 1MYOa�r HommeaEsp�- In-considerai:o c a f the gran nng oftbis requestedpe> it,.l do.herely-agree`ah;a't i lnrail,in all respIff=m the'I in accordance.wa bthe'appaps'ed'plasns,the Florida Wolding-codes and St.!ude-Cosa rAme encs. ThL.T'ai4ta s4ngbLfil<dang pest appixWons are exemptfroraa undergoing a€sail conqzTenjW mAp=mom ad ss,, sccesso v s'aWaa UTW,swiming iaools,fences,walls,sigm scm—wan rooms and accessory asses toanother non-resddenaal use Wd R[ UNG`V +9Ka Vi °199069Mf ReWyg 8 WON@- P F r j,mproven,ents to your plropert- A WbUco-of Commence;11 :1:'must sf rded a p on the jobsite before the--first a If you intend to obtain financing,consuft With benderor an,attorney be-fare commeowng w *sir•recordi g ur Notice of Commencement. `..�. s at a a a�g a� est 5 �'1 ea "57inature of . n cE,orlEa ose Holder a. -STATE OF FLOMDA The fo going i ols8nomen't eras admawledged ire me he forgoing•inswament.was ad=wledged Were me this Z'tKdayi of P�—oIv,-s,`,- Wily of 6���.,�����2 �'K by j ?ti212revv We Winne �"Fs�-wLy#e Wynrrs (Flame of person acknowledglogg) (Name sof person acknowledging igaaa2aare-of notary Pubic-stm e-of Flan ` r(5'�ature of Notary�t blic She€+ rads� 1 PersesraaEly ^" -ORProfteedIdenfficadon Pemonally Mown OR Produ ce ide>rn caficm 'lype.as ldniaifae ���.•�.ac; G rxb Type oFIIdaaraonana eai _ ; SUSAN MAGEE t MY COMMISSION$$ 76,417s3'73744$�D WbII -ui •...•ot, =a, .... yEXP1R>S• NG££EXPIRES;Februa ©M1ON#FF 1877 ry? , ,pj.• Bonded Thru Notary Public Underwriters a.. on ed 7hru!¢ Puboty ---- d r/ lic Undenvriiers Rid 191151203-4 I F"affs FRONTZONING S P.i RVWR 'PSS VEGETATMN SEKRMAwGRoye UNM REVIEW RAE HOREW REVIEW RMEW REMEW 6A I COMPLY