HomeMy WebLinkAboutBuilding Permit Application ALL AS'!3"ial'Ao'J+ ILE WFO MUST BE CO MPMM ICsni+tTS/FGPTSf.RCA-tiOW TDBE AlCCE 9 M
Date: Peymk Number.
_.. - Building Permh Appflaca en
Maaning eOpmeaat S-eadcas
1wilding Qffd Ccdc neavulaso a mawon
2309 trorgini 8Avenue,Fa Paerce FL34
Pbo ne.(77214621553 F=1772)462-1578, COMMefdZ11 Residential
PERMIT APPLICATION FOR: To Se3ed from dropbox, ick saww-at the end of Me
,address: c�,C�,— k—U POT1 St Lucia 34952
fiL� i es ptia�ne pait af 3414-WI-1701-ODM- i - L $CM
Property Tax ID#: Lot NO.
Site Plan Name, Block No.
Project ftafae:
setbacRs Front Rack.- RigirltSilo. Left Side.
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f e's.rz;d+ 'D 2...o-iv&%:a- r�E..+im Kd- -v tie,s'P x5'^a.
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heme f
C•i''".AN,IS G
A itionr'i.i%vo ,c ca a De,-torme£t under this permit—s eck a tj5al apply: —
JHvAc Gas Tank LJGas piping 0 shutters indowsJDiaors
00actric Cl Plumbing ng Sprinklers 0 Generator Roof
Total Sq.Ft o CcnsMxf1aYr So.Ft.of Fgmt Floor-
Cost,of Cons'i ixfwn.$ l3tilaaties:USewer liSeptic Building Height:
KaM61AVme Stftng Gwporefion mama?: Madhaw Lyley1lynne
Address.-WO,D SOtr b US 1,Sifft 402 Uw npany:ins DSMIPpax-rit Cwporaaon
' may,Fart St lU State•FL Address-.8000 SDI11h US 1,URS 402
dip Cone°34952 F -878 ,� o P- orl .LLT18State.:i2
Phone ��code.
Fay 772-87"224
Ph one No.772-87"5113
na in - TWe Ha4dar t}n next page flff Offerent l:-;Magla smQ'1yt 'hc: n
*Omaha DMW fisead abwe)
StaeOrCDU n License: CG 999
ff value of ct+a tMirdon 45$250D or more,a RECORDED J140 ice of Commencement is g qugresd.
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�Aa r ��l l Not A aplicable ORTGA E C PMV: NaltApplic ble
e: Name:
'ss: Address:
City: State: City: State:
Zip: Phone: Zipz ' phone-.
FEE SIMPLE TME HOLDER'. ____,Not Appiicable SONDI 46 WMPANY: mot Applicable
Nal .e: Name:
Address:; Address:
City; CRY:
zip, Phone: zip: Phone: .
1 cer' tha no work or installation.has corrinmiced prior to-the issuance of a perinit.
� 5 Lasaae cau rrnal�s sra re�ra=sa= ta �'as�"aratirrga� �x�tal4 a�toriae�e�rna�!solder�s�Osr"sld•the sraka�ect stsra�are
vaadr is ira.cor�r eco #'aa� a�pli Ee16e t3a�e3s .c+c�as�ri rutty,�yia�►s or ars �co�► arta2 shay sice•oP Yol'tr sucft
s�rtacL� .pia�ase c�aaas3alt }�aar�la3me 2 .eYs As_watioea and;r�s�nr Morar reed�orara�res�ac� > acia errs*!a�pl�
lro-•considerationx of thegrantingefth'as req $ permit,4 do lnereft agree that:8 trill,in all respects,perl'om the work
in aemrdar the appro and plasms the Ra dda Wilding Codes and St..l.ude'2;ounty Amendments. -
The fallowingbffilding pennk appResgans aire-exemptfrom Undergoing a full conqjffency rte :room add itio
' acreessmy stm ctwes,sivirnurgpools;mss,walls, ss,st un,rooms and accessory asses to,a hu non-reddenOal use
AMWraT.0 OW,22.,Yourl'alura f R-acmde in vow p 3 C8 9br
!Mprovem;enl;s to your propeoly.A MoUc&of Coltt$mencenmrit must be recarde6 and posted an the.iobsite
before the Hirst Inspection.if you intend C.o obtain financing,consult i ith lender air an,attorney before
.coo wo*or recoff-ding your.MoVee of Commencement
_ raa8rlce Wirer 1. eep Signature of Contra ose Holaler !
A' FLOMDA STATE OF FLONDA
COM'OFtc
The forgoing instrurnent was fledged ire rrae The forgoing:larsMrrnent was aaaarsoteriedged before me
t isag=dav of jlk cs.�-s 6, 20 a.bY Ss s3a Of
Vleuir�s,ayteiar�rarc Aesr>r—tr.'avrrya
Waarae of p rso ckrtra�le ;ar�91 _ (Narne persoa�acknowledging l
t
Signature•caf Notary k'ubric.std of Flori a o sg f pmlZli State€af Flori J
PersonallyKnom ^" ear ]err$ ao¢� peastmak Known OR produ dernff1mUo t
T.Vpeof ldent radon P ,,. dy e¢ Ia3enti$ia fort Pmhdaaced
.,rte
FAY COMFA SIGN#FF 187647
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ebruary 23,2019 2rorar3ioaa filar_ -
Mr:Yt::i;" un6eB 7hru Notary Public Undenar ters t. �o: SUSAmn =MA
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ebrua)Y 23,20.19
::F" bonded 7hni Notary puhlic Undenurtters
" IEWS FRONT ZONING SUpERWR -PUNS VEGETATION SEAL-rU$. E MANG OVIE;
CdUHM REVIEW REMEW RE1 RE%AEW. REMEW REVFEW
COMPLETE
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