HomeMy WebLinkAboutBuilding Permit _»L(CABLE fNFO MUST BE COMPLETE;]FOR APPLICAVON TO BE ACCEPT. D
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#� Building Permit Application
at<r t71ng cra Cafe Aecui2taor.17,vrs n
ZavC Virg;niC Ave-ru£,Fort Prerce cr 34Q8<'
3h6r•e "2i C2-15S3 Fax'1.72I G.SZ-T_378 iYommerCia: .RSesidenrial
IPERMIT APPUCAPON FOR
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Tex."#: 3 -. t�l 6—N
Lot No.
Ste Sian.+Name Brock No-
a•^;�ci Nerne
Se.backs =runt ;ace. Right Side Left Side
g_ 4 X� _ ff�___ �7'D�ff�•f
yi igna wq to be performed under S germrt C ec a f of apply.
Gas Tarp Gas piping Shut-ers _✓',windows/moors
I ,`)ec is F =r _Sorink+er5 GEnera Lr Poo`
_ - >. -i-�,SG t 7°Ccns[r�ct�or Sci ct o,�,r- -poor I
i :�s,o,�Ccn<<rur_ticr, 5� � 1_166tres. _Sewe; ^Septic Ruilding Height
i
Name w-nnrl
Il A � Pr C i�JP
_0'ilflany ,1^.e11
�) erat= 'Address: 1105 a ahae l[
1� -._ �o.^e max. City 5tate.
?^iq Zip Code � �f 3� =ax: 3;-I-777- LiZ
Phone No. 77G S37, `fz17_
Fiii in fee simple Title Holder on next page(if different ''92i1
from the Owner listed abovel CCaL=Of Counn Lice—Ise ✓i
i if value or construction is ZS6a os more,a RECORDED Norice of Commencement is recuired.
Ji
DESiGNER/ENGMEER. Not Appl cab a MORTGAGE COMPANY No, Applicable
Na Tie Name
Address. i AOtlress._
Otv _Siate: I Citv:
'Io Phone: DID Phone.
FEE SIMPLE TITLE HOLDER: _Not Apolicabie BONDING COMPANY: `Not Apolfcable
1 Name: Name:
Atldress Addrese.
C'• ; City.
1I ��Lr Phone: Zip. phone
t5a',C wcrk or:asta!Iatior has c,a Tencea onor to the Issua',ce of a P,irq.
Si.-wre Covr*Y Hakes'ro r pr s r2 on-rya '5 z t.i, r 'r 1alfInFritorreptrnna tide o build vne suD-a¢ i cc*ure
abr[r s I coti'tict,With an/aoplic-bi Hc,e Association rule,
by s ar anC o en s tha rn y err iC or pra'.bn ech
struct.a Iease can unt wrth vour..ome OYmers A soc;oton ant a v.you.deed p any rest-ic+ois which ma>,Dolt.
m 11nside27!Or of me,granting F'-lies re Quested I do h¢rxby agree the,will,In all respects.ceri the wort
accordant,wit,-he app:owed pian;,tns-1,ca 5,,dd'ng COOe5 and St wcie County Ap alstrens.
T,e fonowmg Guddin,A."',app,lca[ionz are esenpi hem un.ergsog a fall concorrenq-r eo. ::Horn adcltlo,.
accessory rrJQurc S,sw,:-raing pools,fences,wells,vgns,screen rooms and ari eseur,uses m a,cther non-:esidenna,use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your Isi ine twice for
,nprover^enu to your propeiy a Notice of Commencement must be recorded and ocsted an the;obsite
before the fist Inspecticn. If ye,iPtsrd'o cocain financing,consult with larder or an attorney before
coma non work or recordin vcur Notice pf Cemmencemerr .
_S•gnac.re df Owreo Les1ee,'4ge-r S;�at.re d"Gin manse some-
STATE OF FIL A STATE OF FLO
COUNTY OF p kj "d COUNTY OF A�G WD ACI-_
- �{���g,ns-• y - c5 �y :e me 7r,
e e
2- ND-c ns� /�ya 10i 12dbr
1 n4dr+p erser acknowyle�d¢^rE (Nanre of person ackrow,ecg.rg { ,t,,/
a.
$�'aF2:ure 0:NO P'SA.
e[5ona,Iy Known�OR-rcduted Idervrczuon PersoraLy Know= JR p•ocucad ieennHcaten^
-ee: c ,,fczt'o-. oroducy=_d -ype of Io *t"racon P?--caucep
Oc si O.-.No.��✓
III NMaly PW.$1Ne of Flei Mrli,y Puble State o F IIda
nowg
my COA�mmium GG 152VO 'h Commsaon GG 15
�'s,sed( 1J/�U'i9 ya., 9-was+" G.wrea forlNloll
yam✓ E,Plrea t WIWX2t
FRONT ZONING - TURTLE MANGROVE
.. SI REVIEW
50R PLANS vEG A-nJN S
COUNTER gfvlfw EylEw -. 3Eylfw RE\IEw REvk'w REVIEW
COMPLETE'
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