HomeMy WebLinkAboutBuilding Permit Application ..........
919-L AMWAME INFO MUST SE 0BMP3Tt!'d'0 FOR APPUCAMAI TO BE ACCEPM
Dape M- it Number:
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RECEIVED
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AUG
UG 0 6 '1019
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Buflding Perm.1
kes Lu(;ie cc)unLy, rerrrjttjma
ftnning a-x MVzkpMe,_r&51_M1 ST, LUde COUnLY, Pef'rffrl M
Sunding Q&d code Be-quircon D;T,;'x!0n E
Phone:(77214S2-1553 Fz=(772)462-257S- commey'dial Residential
' PERMIT APPS.UATIOMFGR' TO S63&clfrom dropbox, crack arrow-at the end of line
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PDA St LUGS u952
Address:
-prope-MI T=.10 Lot No,
Site Plan Hame- Biock No.
prelact Name.
sefbaez pront nsr-L—might Sidn:.—Left Swe:
under tnisILIpermit—cheka _" appy:FIVAC El 01T. Gas g Shuiters EIVIFIndoWs/Doors na
052cwc cl
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SO.Ft,et Smt Rpor:
cost Of corablxdow.$ Uflarlar.L__j-Sewer 111 SeMdc Suiltring Height;
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ON
Nam BLIMMV OWPOITetion Main__.,Mzdhaw Ly�a Wynne
.102t-S4elh US 1,St 4092 'co'npany..VVYnnal
f2KLS__L Luda xe: :-address:80199 SMAh US 1,SOL-,402
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-ap CDe. IF=772-37"224
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9f a of con3vu-'am is$25MO W MS tet a MCOWED MO tjrC OCOMM Cn=MCM 33 reel Vir.Q&
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;E TIL COMB#R � ON UK'4 A�` INFORMATI N: �.
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NotApplicable G�ORTGA E COMPI NM NotApplicable
Nam.e-.I Address '
City: State: ch'.J. Mate:
Bp.. phone: Zip Phone:
FEE SIMPLE TnU. HDLD9;�,. _Not Applicable SONDING $1 PANY,- Not Applicable
!Name• flame-
Address-- Address:
Mp: phone: Zip: p{ mea
II cerW that no vivork cr installadon Sas cornmenced pilor tc the isswance of a penWrr-
St Lerele ►tirr r�ialees �a r2�rsea�aai�r 3snr� S �vuoa aaa�ke c+> ckne mai c llder &r ;l�fir�s�aiea sra�c pare
�vlricin is rrr ee9 ae��nraLfi3 aztr�appTivl�Ha�rr�e II��tr�2s��sscrc�a�on resTes,�►yfaws or�nt�+eoua�tt� a�ray rric2•or�r$OIIaI��sucf�
s;rrun .>Plr��se c�rassal cn>i�iaaaar fliaartre a Asr;� ana a �etrdeur giaur Meed fsr end resic€ior uttl�ie apph�
8 la-consWeradon ofthegmnftg cMlsrequested permit,l rice herebragreethat 1 WID,in all respem,perlo m the>l mrll:
in accor&nce fi the appes;wd plarfs,-the Fbdda Building(Codes and St.Lude.Cbu atrAameodcraerr
i The feHatTanobifilding penWlt app eaffons areexerrapt Purrs undergoing a(call concurreay re~riqLw.worn►2der0ops,
sva-mmi z,piers,_r ,ells,zwu,smi-sian rooms and sccas=ry asses tai another non-re,%dwkidal use
�ayouribioureft Be ad Yaw
improvements to g oto propeH.V.A Notfc&of Commencement most berecaa ideji and j 'ostjd an the jobsfre
before e irst.inspeatioia4!f you all tend bo obtain financing,consult With lender-or an'attomey before
I
mme or recd dlng vrr ur Malice of Commencement.
3 >�j1gQaa> igitraiuire7RMIDA
r Licerfse Holder
STATE FLOMDA STATE 1.
COUNTY OF,at Luria
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T-be fOW2!rg loWment was adammgedged are The'�osgOin •inst rumen a ters as crbsseRrl�edged ltef6re rye's I
�lanha,Esn�;tvgrrce ;waHif�,ty awymra
(Name of pemon eckiovledoing} (!+Pause of person admowledging I
lSigrsa sae of LiII a �scf if G 3 c-of f lm rieia jSs�Q,a 1 es e�f f j'Poblrc 5tate of Florida) r
Personal*Khom x Frodumd odenvoca o lie �llppl6ra¢ai9�>c � �l$pra 3ece laeea s�>da
Tgipe Df identffl(P9iion froduced _ :Ty Pay of Bdentffi fon IPTeduced
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PON#GG 030145 B arraiss as l ,� ,_�--9�R0 a ?v AN 1 i
EXPiRES:October2,2020 MY COMMISSION#GG030945
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