HomeMy WebLinkAboutBuiding PermitAll I AIPPLICAIBLfII INTO MUST 19 CCIh PI ETED Nall AIPPLICA7IaN TCI BE AICCEP791]
Dada: Permit Number:
Builc ing Permit Application
Planning ani I Dei tela pni o n t leru ices
Building and Code RegWaVan Dhihiior
2;100 Virgliniai Avenue, Far Pie+ira FI 34952
U one: (773) 4(11-1553 Fa) : (772) dE1;-1578 Corrlrriellcial Residential
PERIL 17 APPLICATION FOR: -no Select loom duopbox, click arnow at the end ol line I
Addneas: ", 5 I( )
1 e gal Descripl ion:
�_I Yl �2C c
Property Ta )i ID
fits Plan Name:
enopat Name: Y ICA
9eit acl s Front Bi alk: Rigl tSide: I efl Side:
0 Plural ing
[]Sprinl leis
"3 f utte rs
1Generatar
Lot No.
Blank No.
F]Windows/Doori
Raaf
To to 1 Sq. It al Qa nsl roti ion: 3It. a f Rirat Iloo is
Coit olConsUiuction: I Utilities:cnSemier DSepiiiiBuilding Height:
14-1 MMIM :ice ffr, I�� n
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Code:Zig
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Fill in flee simple Title He Isle r c n next page ( ill diflenerrl
1h a rn the Owne vi lisl ed a t ove)
Raaf piW
Name:
Cornl1any: a
cx_AAd Yw cAo
Address:
City: State:
Zip Code: Rax:
P1 anfi Na.
-Mail o , ('d
State or(launl)l License:
It value of constructia n is 12140 an m ore, a Rnaon 0 OD Notiae of Conimenserw nt is required.
01 SIGIN 1R) JN(IIN EER:
Nanle: _
llddne:ls:
Cit y:
Zip: A I one:
FEE I IMPLE ilTI E E CIL ORR:
N a rni e:
Alddnea s :
City:
Zip: F F all a,.
�Nol Applisab
State
Nc t Alpplica I la
M ORT(IAI( 1 CONI PAINY:
Nary 6:
Alddre9s:
Cil y:
Zip: A F a rl a:
— Not AppliaaI le
Slate:
BONDING COMPANY: —Nat Alpplica ble
Name:
Address:
Citi. I:
1q: I I ane:
1 aertifl that noworl or instalktian I aj sonimenced prior to the issnanae of a nerrnit.
S1. I uaie Uoun ty rn a 1 as no ra pre9en to tiontf at is gran tin® a permit will a L tf oriae d e g e rmit I olc le r to I L ilc I tf e s i it jec atructc ire
Nwhial in ca n ffiiat with any apll linable He me Owino rs Assomatiar rules, blllavtis or and amienarib that rr a) restrict or prof ibit such
structure. I Gra re aonsult wiitl yd ur Home Ov in era Aha -natio n and rei iewi + cur cIeecl for any restriations wihial rrayl a Apl)l.
In oonside ration of tf a granting aflthis roc uested perm it, I clo I ereb)I a®re,i tf at I mill, in all resaec s, nerforrn tf a worl
in aciao rdanca vilth tl a agproi cd flIsns, If Alarida Euilclina COCIej and It. Ll Cie County Armand rnent�r.
TI -ii following t uilding parmit,i Apliaations are Darcmpt1rorn uncIargoing a fall aonaurrenail reiiiemi: roam ,idclitiana,
a raessorl rtruclimi s, swinrrning peals, fonce.r, via IIs, signs, s,ireeii raams a nd a caessory uses to anothe r non-residential c se
"ARN IN (I iO OU} NER: Yourialluse Io Record a No -lice a Cantrne ncanlenl may sellL I'l in your pa ing twice llor
irnprovemerrls to yo un sop y. AI Notice of (Iammencemen'I rn ust I a ra aonded and posled on'IF a jai site
IaloretIa finitin 141 JF Ifl}IoLi into rldlooblainfin anaing,con�iultwith 14 11 on am all onney I albue
aorn n enaing w on ne Ilc fig youn Nol ice oll Comrn e n ae rn ant.
Jill nab iraofPvv#Ye�KXsee)ICantracoras Agent IorOviner ISianat�re oritractor)Ili+renseHolder
STATE CIA FLCIRIEI
CCIu f TY CIF
The f rgainl instr ent vva5 d nowladged fora me
tf is 8;1 yl a f i 0 ;
(Na metof lea rra n acl noVJetf*g j
nature of
Uonimisiion rIa.
Reuisa(I d1/79120
State of Ala
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(Nanr a pf C+6raon a a F s a vine de4w4-,
(]i'gn eture c f I N)*(i- ]tate of Ala rida )
sr9onall}111nov n oA Proclucad Icle
ronIra dusec I
CommisAon No. I Rw �E9Et�0
,,.. tCF'IFIR i #5 535'2119
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