HomeMy WebLinkAboutAlan Schmied PermitA!' APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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2306 ✓irgtnio Ave -rue, wort?erce pi 3498-7
aho^e: .Zi^-cZ-t SS3 �ax.(7721^-52-1578
PERMIT APPLICATION FOR
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-mg _ Der; ipren:
Tra�elexs
Tax ID
S;e'�an Nam' —
o.-:=a wane.
S-tracks Pent Back'
Building Permit Application
Commercial Residential
Rign: Side. Lent Side.
c^.rtiona wo to e perrormeo un er this permR - `-1 `«^ -" _ - _ jh u._prs
Gas Tark Gas P+pleg _
- _ Sprinklers _ Generate
Su. Fz or';r>t loon —
S2wer _ SeNt'C
crate �1
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.gill in fee simple Title Holder on nexi page ( if different
from the Owner listed above)
Lot NO —
Block No.
vvinccws/Dcors
Roo
Building Height:
Name .Jt ii-�✓J it '��--1i� 5"
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Company.
Address 1105
Cry:nd,w
?ip Code 3Z93_7 =ax. —=---
Phone No. ?7- 3 j7- 4147G
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CiaLe Or . oucr Lice Ise �% I
it value or construction is Z500 or more, a RECORDED Notice of Commencement is rea,uired.
Na-ne
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Phone
State
MORTGAGE COMPANY: _ Not Applicable
Name _
Address: _
City.
Zlo: phone:
FEE SIMPLE TITLE HOLDER: _ Not A policabie BONDING COMPANY: _Not Apolicable
Name. Name. _
A CloreSS. _ Address'.
.r'" i City.
Phone. Zip. Phc2=-
_' ti it vC k or nsta Ia-pon has 0 Ten eC Ofior to The ssl n' e o 2 mrT.
S- _JC COUrr maKes no,epre5tlteoor hat15ran Ine = f.e'm 11 �'ho :n_ per-1,: --0Idel zc 0ulln ne Subt L u! .re
,n,cr s r COnf1iG w Th any apDliccbl= Hone Owne-s Association rules. by'aws or arc Covenarts ha[ m y '.e rcz or Rro,oit 'JCG
S^u^ti'e, -le2se cOnsuR with your Home owners ASSOC.STion arc I eview your deed for any rest: fchc ._ whICh Tay aDph.
CO nSOe'2ilOr o- the granting c-`his requested Derrni T, i do hereby agree i, twill ir. I e5p e��Orm the^'w'Ork
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c accoraz�cs wah -,9 he aonreved ians, t = '[or 3uilding Cedes 'nd St. L__'e Counry =.me 'm=n_s
-Ile follow:ng bu Id r_F, oe',T app. caciors a. _ exe Plvt frrm li,de ao ng 'Jli o :curren C, • e 'ew: roo acitions,
a CCeSSO"y 5-,-Q'J eS Svi -!'*1 ng �005, fe Ces. Walls, Sliff" scree" Dons,.no cce_s0'v use i_ .'Lh_ 10- 45;0enu2, use
WARNING TO OWNER: your failure to Record a Notice of Commencement may result in your paying twice for
r'lpfove'rn.enzs to your pro De,'[y A Notice of'Commencemcnt must be recorded and posted on the 1;O05lte
oef Oft the first inspeRion if yCu Int and --o obtain finan Clng CC,-SuiT v 'Zn 'eroer or an a torr•ey before
work nr r=rnrrt;niAvn,hr Notice of Comme c me,'a. Q_, !/
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STATE OF FL� DAA�.J
COUNTY OF
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