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HomeMy WebLinkAbout751 E Prima Vista Blvd Permit Al+A?PLICABLE INFO MUS-, BE COMPLETED FOR APPLIi_A-1101%TL RE 'H'CCEPTE© i Building Permit Application �` ;;:ny ire :ice he�u�oacn Jrv,s,C.� �I iv DC�irgr�rc A-we�ue,Farr Prerce'±3d�&<' shore ,-721 452-1S53 Fax: (7721^-5:.-1578 Co rn me rcia 1 Residential PERMIT APPLICATION FOR - -- -- iTa.Q Jj O.LOt N Dian Nam O Bt.Ck No._ -r ect Name �. Sc:b2cks -rOnt Back: Righi Side Left Side _r•:\f/.'.. 1i�f�" 7-I]/ �Ctw' G.4s�1!':? �:1.7r )al I� -Addr ona work to be perhormed under this Dermrt- ec a that apply: ✓�Wincou✓s/L`Co-s I� ,Me-hanrcal _Gas a©rk �Gas Fip;ng J Shue;ers � f =:9ervic cj,;,;-,!-,.Gnu Scrink'er5 0 _Generami- t -Z'SG =[J`CMSTruCtior _ Su ct. c`Zirsi=ioor crCcn ruCtrCn S '!to lt,es _SewP- SeptC auking Height �c-1c Narn J rLrr L�C'� reI; " Cl Stare Address:lfrJ �m�rata� �� I C ty S.aTe --ip Code � ) -77- Z3 w, Fhi7ne 11: -2,7 3 37- l7✓ Fill in fee simpie Titie Hoider on next page(if drfferent c Vai! w L;,6:nr�0.la +Torn the Owner listed above STa__or-our[ i_ic,-)se +f value or eon!nruetiorr is 2500 nr more,a RECORDED Notice of Commencement is required. DESIGiVEh,`ENGLNEER Not Applicable MORTGAGE COMPANV. _Not Apphca^,e Name Name Address Address._ C:7V Sti tE; CiiV. 7�q Phone- ZIo Phone FEE siMPLE TITLE HOLLER: ^Jot_,policabie BONDING COMPANY _Nat Apo I Cabie Name Name 9 y'cid—css Adoress r City 71r) pt)cne Zip phori� 7 .,y the,n::.+ors a.:,�sta la o,was o-:men =b prior to rh .ssL J C:e'COuf rrFe r ZKQS � f 5 l;2ilon h3r;5 •antknE a mr:w,dk L h4 pe, w Ter iu.7uio-n2 =T Usrt- nL�.tuS�,ok4a5eC0 with S vl�wi nvpC Ur bIOTP owners A556Ci oT On arc NEVS_w Va�S.ie£d or anv res or a,c t ict Ormay which T vC2D,3f7, �'Vt .n 3'me gr,=n:ing of ae,mir.k do he-rby agree;tea['w,ll.rr all resn_ci ❑ef�Forn-n�_10 K accCrdanr=­Zr-he aeproved 31a's,t.._11o,ca Building Cedes a,,d Si.Luc,E COcr-V=rye^drn=_ns. -he f011awing n-ldmg pe TNT a,ppi,ca_,Cms are exern Dr trot,underao,ng 2'Uli COnW rerCb'eN2w ton-zadivons. �cC25SOry s7r_C=1:eS,stiv,,—'rg�ovis,fe^Ces.walls so-gns scree^ra©-s and accesso� uses:� 5. WARNING TO OWNER_Your failure to Record a Notice of Commencement may,esult m your paying twice ro- i,mprovernents to your Property F Notice of Commencerent roust be reco-de�and oCStLd orn the JCasl=e aEfar2 the _t inSPeCticr- !f yoc intend c corain finanrir- CCrjsu:t wit` :erd-?,Cr er�� ,eY t3ef�rE co r11 O'fffff?GO— N....`NOt ice of rCt rne-C:mere -. --�,----'a'�� Signac re of L� --aW.v ._ice^�a-;c•:1_ _ STATE OF FLORIDA COUNTY STATE OF FLORIDA COUNTY OF _&CNG ?._ COUNTY OF st Cyr Ord. 1e"C'f(o,g in5; -- - . 1 - - _ _ - - e 73,r i S13LA.i_�JU�\ 7a ll—u—L b� :i ;Name Cf C2fSG'r.4Cknc-1C.t r-� ... - _ora�- IY Kvo OR p-ocuC= iC,2n i-lCa"MCP � � +�ST� r,� Notary Public Stated Florio ��putew..S1 of FKK"� f a lN Aglonsll�— CN A1y Comm,saion GG 152070 My Comm,ss,m 152%70 +� g G {{` a'xtSCd i;- 15i Zri! 1aiM Evires 10118f2D21 "la:,�a1° ER Ommm lN7il2M 1 f _. _ly> ..=RONT C1NIN SLPERVISCR PLANS SEA TUR"i_r 't'ANv R`JL-`_ ✓S L COUNTER REVIEu& REVIEW REVIEW REVIEW Rc'V1EVv REVIEW :JMDL.= -- iy,-1 Kivu B � ! ■ ! ! ! ! § | | ; < �! � G \ , $ z | § | \|)§ | ! k § | 9E MH i § ! ■ ¥ / ` § ! | ; , | | § ! § § >« § . �/ | , ■ '� � � | � `_ $ !� || �, f | | ! �l�� ! §« I |! | `|' ; i , . , � ! , |• ■! # �2§ � � | # � ! // ) � � ! ■ ` � ! | \ � ! a , ! � , ■ ; . |� ! | , � � | /\! E!!: ! � � k | | - - - - . . . . - - . { | | § , , , l ; ; 5 � , ; ; ; : ■ _ , . § § z . . . . . , 2 § { � — a j $ » °0 �� ■ � f ! ! ) 39 | | ' j § # , } (2 2 ;# \ k §# ! Jk f § $! � } } } \) | |§ ! \( \ }} } (� � §# E ( � tn ( / ) 2} ( r , ( )§\m\ @