HomeMy WebLinkAboutBuilding Permit ApplicationAlE APPUCABliE INFO MUST IN� COMPLETED FOR APPUCOLTION TO BE ACCEFrTED
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FLrm it NumbP.T:
Bu i Iding Pe rm it Application
% -v
Pfm7ninq zmd DeMopffwnr -Servkes
.Htjij�ng and Code Reord4fiorT DMjjc;"
23W Vorginja Avenue, Fort rot .FL 34=2
Ptiori,e; (772) 462-155Ease (772) 462-LWB Cornmeriffal Residernial
PERMIT TYPE: Mechanical
[fRO PCIS ED I M PIROVEM E NIT LOCATION-
2505TarnarindDrA-2,Hutchinsonlsland
Property Tax I D If:
SA,e Plan Nam c.
Prep jw. Name:
Lot No...
Nock No-
. . .............. 7
DETAILED DESM PTI ON OF WORK
AIC Chale ori like for Eke to exi-.Zing ductwork andRi—app'-er I ;e, sftkp cocA, 2T, bl<VV, 14 -Seer
CONSTRU C'WN INFORMAT[ON:
AMitional work to be. Performed under this permit –check all #W applV:
Mer-hank.7ki Gas Tank Gas Piping
Electric PlWnbing 5priniders
Total Sq- Ft of Con-mction:
Cast of Ccm:strucfion-:fir'ad
Name Fornarida Sturgel
Address: 250_5 Tamarind OR
City: Hutchinson Island
Zip Co&- 34,9413 Fax:
Phone No_ T726264143
E-Malw,
— Shutters Windows/Duors
Gmieratior Roof PiWh
Scl- Ft of First F1QQr;
Utiilflic�. _ Sewer _ Spptic Building llei&v
Fill im Ilift stela Title Holder on rbW page I it differeut
Darer:Fisted above)
CONTRACTOR:
Name; Jorge F Granadifflo
Com pany- Grana Electric AT Condftnin g. INC
Address: 3073 sW Ann Arbor Rd
Cft-- Pod Sant Lucie sut;7FT
Zrp Code: 349M Fax:
Pficyne blq� 772M297rt- _3
granadil yahoo-oorn
.State or Cbrinty Ljce,,__ GAG1 81 7
11 value- -01 ct3nitrLwition i* S250D cw nxwe, a RECORDE�NatweMrf Cowmwneemerd is required,
If Value, Of HVAC is $7,5M ev r rea REODRUED I*Ake of Commencement isrequbed_
CouNTY
F
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t U A 'jkm46
FLrm it NumbP.T:
Bu i Iding Pe rm it Application
% -v
Pfm7ninq zmd DeMopffwnr -Servkes
.Htjij�ng and Code Reord4fiorT DMjjc;"
23W Vorginja Avenue, Fort rot .FL 34=2
Ptiori,e; (772) 462-155Ease (772) 462-LWB Cornmeriffal Residernial
PERMIT TYPE: Mechanical
[fRO PCIS ED I M PIROVEM E NIT LOCATION-
2505TarnarindDrA-2,Hutchinsonlsland
Property Tax I D If:
SA,e Plan Nam c.
Prep jw. Name:
Lot No...
Nock No-
. . .............. 7
DETAILED DESM PTI ON OF WORK
AIC Chale ori like for Eke to exi-.Zing ductwork andRi—app'-er I ;e, sftkp cocA, 2T, bl<VV, 14 -Seer
CONSTRU C'WN INFORMAT[ON:
AMitional work to be. Performed under this permit –check all #W applV:
Mer-hank.7ki Gas Tank Gas Piping
Electric PlWnbing 5priniders
Total Sq- Ft of Con-mction:
Cast of Ccm:strucfion-:fir'ad
Name Fornarida Sturgel
Address: 250_5 Tamarind OR
City: Hutchinson Island
Zip Co&- 34,9413 Fax:
Phone No_ T726264143
E-Malw,
— Shutters Windows/Duors
Gmieratior Roof PiWh
Scl- Ft of First F1QQr;
Utiilflic�. _ Sewer _ Spptic Building llei&v
Fill im Ilift stela Title Holder on rbW page I it differeut
Darer:Fisted above)
CONTRACTOR:
Name; Jorge F Granadifflo
Com pany- Grana Electric AT Condftnin g. INC
Address: 3073 sW Ann Arbor Rd
Cft-- Pod Sant Lucie sut;7FT
Zrp Code: 349M Fax:
Pficyne blq� 772M297rt- _3
granadil yahoo-oorn
.State or Cbrinty Ljce,,__ GAG1 81 7
11 value- -01 ct3nitrLwition i* S250D cw nxwe, a RECORDE�NatweMrf Cowmwneemerd is required,
If Value, Of HVAC is $7,5M ev r rea REODRUED I*Ake of Commencement isrequbed_
SUPPLEMENTAL CiDNS-MUCHON LIEN LAW INFORMATION:
D€S[GNERIENGNEER: Pk)t A,ppl c aNe [ RT E COMPANY: _ Not Applicable
t4alnc 'Narrier
Address: Address_
may:.- State= City; State'
Zip: Phtion-P Zip-
FEE SIMPLE TITLE HOLDER: — Not Ap pltu ablo BONDrNG CO M RANY= _Not Appal ica ble
Name= NWne=
Addrew Add miz: ,
kyr Oty= ...
ZIP: Phone- iriR; Phone=
OWNER/ CONTPJkCTOR 01i.141113W. Applicwucm is tw[:by made 14D ol�tatD a t*rma W do the work and in-Aullatign as lndlcated_
I certify th#rt no work or instal Ryon has cosrinw4 *d cancer k tht i=uanoc of a parmit,
5k. Lucie ChuntY ;Hakes no r'earcventa that. is grary6ng a yeefnPt will authbrite thepe,�et hold;.; to E�uilr� the 5ub(ect 3tru�re
which is in toff) ct with any applicable MrM OWhers A;±o�on nu kms, tryUws or an covenants that miry restrict ar prGhibit: SUO
structure. Please-bbmult wilh y m r HcTne Owners AEsoclaftlaM .and re:vieua yQ1ff dell fir any; restrictions whack rnav aQrdy_
In cansiateration of the gForilimg .:sf this requested permit, l -do hereby xu-ee that I will, in a91 respects, perform the work
in accordance with the approved plwL4;; the Florida kilIdlnFg codes and Srt Laarie County Amendments.
The fo lonwinE buildirig permik apple am ewempt fFo n undergoing a full wem�urrvney rcwigaar, room additloris,
accessory struetu re-.;, ,wirnrrFll m pock rtnitim wall:;p sites; mamwn roorrrrs mA mce'smiryr uum: to farther raon=ra;idertlM wse
W#RNI NG TO OWNER-. Your faaure to Rated a Nutter d CaimnmmcemerA mays rel# in+Orr Seng W&e for
im provements, to your property. A< No ice of Cornmenowwnt rnua be recorided .aff d posted on the jobsite
befor. r. thc- first inspection- ff, youjacrid tO obtain liinan€ rk& aorisult with kf4er or an anomeyr before
com menri work or re iardi ur +Mice of CommencerneM,
G ;njlure o f {lsfrrav/ LizgpeeX r as Aprlt fm •€]1rm" gEnaturc of OD r' er'
STATE OF FLORMA �-.. � STATE Of FLOR10A. � .
MUNTY OF FLINTY OF
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The for rr.r instrume ae1nowledEed before me
-L,...,�day of + 213_a by
Nasse ofp4wn rraa ing ` ernenr_
PersaanaiIv Known OR Produced Iderytifkaticm
Type of Ikntifcatign
(SivwMe of Noury Rut;$
Cor mi2ONM Nu.
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IIevlle 4� FI OIYT
COU N ER
Da4Tlr
RECEIVED
DATE
MPLE'I"EI}
The 1St reit ir►strumc twas .� #rtptwl befalle
this da -ect l � S l hh 2D I by
Name of fxmsare i4baking. ' W.mr,nt.
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PemDrsally awn taH, PToduced I dentificaticn
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ZONNB SUPERV&)R KAM V ETAV01Y Sf 1-UKFU I MANGROVE
REVIIEW REVIEW REVIEW{ REVIEW FCE1rlE REVIEW
Certificate of Product Rahn
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TERMS AMU CONDMONS
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�'2{�7 �'�41f•t]{1N'Il� �"ECr7�r}}a°r c�IGj �C'iECrEetel}ee IIftS#i�Ife CERTIFICATE .: