HomeMy WebLinkAboutLinda Valek PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Pena Number.
:,rcnsinc ord Develonmen: 52"✓ice5
3udding aro Code Recu avor .Dlvision
2306 ✓irginio Avenue, Porz Pierce FL 34982
Phone. [772)452-1553 Fax -k77'<1^-52-1578
PERMIT APPLICATION FOR.
,dcre;s:
Descri
-^oer Tax iD'=9f1`-1 _..
Stia pian Nam _
Building Permit Application
commercial Residential
urcjecT Name.
5=_ffixks =rant
Sack: Righ Side. Lett Side'.
Lot
Block No.
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Address Ilobctcy ha 4
_Cas Tark _Cas Piping
_ Shuccers
✓ LNInvG Ws/Doors
_^stechz^ical
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Pi�.;n�in� jprinkers
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Building :-;eight
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Fill in fee simple Title Holder on nez[ page ( if different
from the Owner listed above!
Name- _ VI L,'-.0 it v1
it value or construrion is
PICC:
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Company 1111YI e s s= Xc✓s
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Address Ilobctcy ha 4
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State:
?ip Code 3293? =ax.
321 %77- u,71
Phone No. 72 337-4970
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2.500 11 more, a RECORDED Notice of Commencement is required.
Name
Address
C'7V
7Q
—
Phone
cable
MORTGAGE COMPANY
Name:
Address. _
City
Zio. ?hone
Not Applicable
FEE SIMPLE TITLE HOLDER: _ Not Apohcabie BONDING COMPANY _No- APollcable '..
Name: _ Name
I Address. _ Adores,_
_
`,tv... City
'ip: Phone: Zip. Phon=.
-1Y tha; riz ircrk or Install a:on ias corn, Fenced Prior w the ssua n -_e o a perm,t.
C- uce Courry makes 10 reprt5eri,aclon dar i5 y.antinE = re -m: w 0 autrori e ;he per "ni,- noldet ro duds int sunien c[rur--fe
wn+cr _s !❑ mnf ic, with any aopllcabie Hone Own rs Associar on rules. bylaws or and ov2. -ts tha mayesti -, „ orolior, <J -n
r..
.. u._•e. Please consult wren vour home C)wners ASSOC!ariOr, arc'evlew your deed for all estrcttcl<_ whim T v aoDi.
m consioe2r!Or OF the g anring Of this regJesied pe,,.t, I do hereby agree t'ar I w0l, to all resoec-s. Oa. orm Che a,ork
racCord2n,e w tb the don-Oved plansthe FlOrl ria 3ulld,ng Csee5 and SC LuCle COunty '.riterdctents
-he following 0r ,id,ng permit I,Plcl,iPnl 1,e e,e^ioT from U,Oereoing a :ull cOCc,rrenc, -el,e- Fool arlditonS
ZC,Ce5sorY SrJi,'J, es, Sw'r,"r; JOO'S, fences, w3115, signs, screen. roo:-,s an0 accesso' _s2 O a,0 her no',e5 Oeniiai 'iia
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
Improvernents to your prooerty. A Notice of Commencement mist be recorded and posted on the jobs'.e
before the first inspeccicn. if ycc intend *o obtain financing, censua with !ereer or ar before
rnmmF=urine work nr recordi=.e vour Notice Cf Cemmencemek
_ slgnatjre of Owreri Lesse=e; Agent
I STATE OF FLORIDA
COUNTY OF
i ite "Crg O.^tF m4'Jrtt2nv was BCkr Ov: !£C v.2'G:"e. �_
Pa, of _IJ
Ova^e or oeaon ack news=deme )
STATE OF FLORIDA
COUNTY OF
-he fo"g _ ..a 3..✓no�.lea=.eC Se. o. a _
This day Of 20 by
(Name of person ecknow,eCging
'Signature C' No-arq Pdblic- State of PIC, C2 (Signa -u re -s No.ary p P tea_ f
„Fbrida
Pe rsonal!v Known CR Prcdoceo ID ,ifican or. Fersorady Krowa Cn Froeu[e0 iC2e,ific3uon
-voe 01 :de^:rflcaf or or"Jcec -vpe o= de:,tif' orlon ?;educed
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IRe�,sed`0-,15,2014
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:=RONT ZONING SUPERVISCR PLANS ! VEGETA'-ION S__A TURTLE MA NG ROV*
COUNTER REVIEW REVIEW REVIEW REVIPVn REVIEW 3Evi_FW
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