HomeMy WebLinkAboutBuilding Permit ApplicaitonAlt APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Peri? Number.
Dare.
J
�'Gn ^i.^G GPd �JEVBi00'T1 et: ;2' --'Ices
.3u1iaing Gnd Code Regu!Gtlon oi-rislo.n
2300 Virginia Avenue, Port Plerce F! 3498-7
Phone: ;%12_) A62-1553 rax: (772)^-52-1578
PERMIT APPLICATION FOR:
+dares
p=, Descnptlon.
q-opery Tax ID 6
Site Dlan Name. _
Building Permit Application
commercia, Residential
PrceQ Name.
Setbacks gent
Back. Right Side: eft Side.
-Additional WorrtO ? Pe Onm'd under this nermu.
Gas Piping Shutters
Mecha^ical _Cas Tank _
�-
Sprinklers 6en2rator
_=iectnc _plan! -^g _ –�
-0r21 SQ "` O` �O nsT6UCtiJn. _� -
SQ
Utilities: _ S=_wer _ Septic
test of CcnSsucTic n: S _;L�'
acdress
State
C!rra
Zia Code- Fax- -
Mair
` Fill in fee simple Title Holder on next page ( if different
from the owner listed abovei
Loc No
Block NO.
Z vindcws/D00'5
— RCo
Building Height.
Name�Jt [l- j it
t,
Company. 7 Y" '- t',!"fs^
Address: 1108 `o anaw 'i
City!
lId,'w
'. ?ip Code. JL53_____—
Phone No 772 337-,q70
q70
c. �✓"oil: ..:T'._`._ �cUOC aI�" -•a_ _J^' __
STatc or Counu, Lice Ise ijj 1
tf value of construction is 2500 or more, a RECORDED Notice of Commencement [s required.
c <�
DESIGNER/ENGINEER: ` Not Applicable ! MORTGAGE COMPANY: _ Not App!icable
Na'-ne.- Name:
Address: I Address: _
C,. y: SlateCity: Szaz
710 Phone: Zio.
FEE SIMPLE TITLE HOLDER: — Not Apolicabie ,, BONDING COMPANY- _Not Apol�:lcable
'�. Name'. Name. _
Address. _ Address
Cit',
Zip: Phone: ZIP, Phce<
^,fy that ,,c wcr4 or nra!latbe has c0.-menced prior to thersscao-�e 0 =permit.
St. ice CounrY maKeS n0 re f�5e"Yciion -rata ,antingwill ac pori e Lh2 r2 '-r Older o build .re Sucre—A uC7 Te
wnlc Sin corlL with any ODIic2bi_ Home Gwle-s A55xiat on -ides, by—,s Or znC Oe2 otS h2 may:. e . 6r pro'+ bi, ur'h
Strp QUre. Please Consult with vour Forne owner, AS506aUor and review your deed Ar anv rest(ctions whicn 'P_v 2DD1\
in consiceratior Of the gran zing o chis regoe5,ed .er nit, I do hereby agree ii'ar will, in all re<p_c-5, de 'Orr,, ihE wOr%
In accordant •with the approved pia t •e Pboaea Building Codes and St - _cle Coun v '.rnendmens.
the following building aerr:i- aPP!Ica ns are exe rot frorn undergoing a ail corco, r ncv eview Foom adci on5,
accessory A'rJrure S, stv .'riming Doo'_, fences, ,aNs signsscree.^ r00,s ald accessc' 'ses :9 anozlh_.l non- es denila� use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your Property. P. Nonce of Commencement must be recorded and posted on tite;obsi%e
before: the first inspection. if yo, intend -c Obtain financing, consu'rt wit" ierder or ar attomey before
cOmme in wOrK or recur , year NoT.ice Cf Commencement.
_ jienzture o%..wrier/ Lesse=/Age.^ I Signacu re of Copra .c r, License =olde.-
STATE OFF I COUNTY OF` yard
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