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HomeMy WebLinkAboutBuilding Permit Application AU APRICABLE D MUST BE COMPLMD FOR APPUCAM N TO M ACaPTED
♦ Penwift Number.
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Bufld'- g Permit.�ppkatt'a ftaalaing Wd s saraadffay wd Cur1--r7a gula�ion 89nw acn
2=Voaaa6�aura.�lYPAue,Fbit' emneF 34
Pbow-R72)4671553 Fax-(7n)462-1578, com i1erazi Resid
'rPER IT APPLI TIOW FOR: Tai Selept from dropbox, crick samwat thS end of line
{ Ps"3Oi"Oo#K"D $OV.
t St.LUcie 34952
legg iDescdpficjrpsa zf 3*f -5M-9700 1-ODWO-Spzaagsh ILS Cos
Proms T •ID Lot No.
Site Plan Name: pit&No.
Preject Name: }
setthael s r-rorat Se's: psght sada Lit Sl
} CDE
i= ?
De ration of mobMe haMe.
A i.tconai%vor,c ca a Qe;-tQrmer-I under t !s permit—c eck a t�pply-
HVAC teas Tank L jGas Piping i _Shutters 'windows/Doors
�Sec Plumbing sLGenerator
Roof
Teal sad.Fit afCcwlc= Sch
Ft.of Fqrst Floor.
Cost of ConstrimrMn.$ C?� Utilfti2sewer S+epdc Building Height:
NaMeWyme Carpon. samame. Madhe E.y a Wynne
Address.-SOOdD Sou3b US 1,&Xe 02 cor perry.Wynn Dmmlopment CoypoToffon
Ctty.-Post Si.Lu state-FL address.-S ODD South US 1,Stas
Zig,Cha 34952 iF= 237 24 3d(Fort .i ..�e S�te-F-
Phone --mvp cod,e"$4951 Fwc 772-878-0224
E-Mail:-5 ixP8@*jnr-0 wmm Phone No.772-878-w13
from the Dmmwrzbmn) stae or County Lkense: CQf'ti 99
Utvalue otcomtrucdon is;250D or More,a RECORDED Na ice of Commencement is required.
•
p LF��#z. TAkf f; l'-t. � �RE AViF INTOR AIA T ION=
NERANGONEER: Not, pl cable MORTGAGE C PMY: NotApplicable
Nam.Name: Nae: a
Address: Address.
c fty: state: 0ty: State:
Zip: Pl3one: Zip: Phone-
. i
FEE SiMpL.E`SME HaLD8 k. _ Not Applicable ?,0HI 1HQ tOI< PAHY: 4ot Applicable
Nam.e• Na€>rte-,
Address. Address:
zip y Phone: Zip:, Phone:
I cerW tIWL no work or insl allation.Inas commenced prior to the issuance of a permi�_
e.sCrroceos�aicrrteaaal�cesax•aas�rfiea�pariexTssie:asih�aleYi4r4ns�R rte CE"s�saragsearss$t�ir,s�gst.a+cgsamfsa7raitruavlsis0s,ahsryeit�aowrisaeor aerard•ecrosvn�ittiaaecssYld�e�3r18toY cb�teaai�Pd Ye$hscerissaYeh•ajer c�trsotYrsiu�ct�fsare
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In-consider-i0on of the granting offthis requested pern it,i do hereby agree-that a vvilll,in all Fest,gerforsas the vmr c
in accordance With the approared plans,the Fbdda Wilding Codes and St,.Lude-CauntyAasendrasen s.
The folloufmgbEfoldiing past applicafl s are 4aesanot ftm undevzoissg a full concurrem--y re-Wgw:roars 2der0ops,
accessory strut m'Sn4mm-M p0010e s,sm•aUls,s'j,•screen res and accessonf usees to another non-redd4redal Wase
9A1ltk1�7PG� a �>�ri9�re ac a. • y�-a un V1r4 sr for
improvements to your proper.A-Hulce of Commencement most be recorded and posted-on the jobsite
before the first-inspection.if you intend to obtain financing,consult with lenderor an attorney before
come. o0k or recording your.Ha Lice sof Commencement.
s
a of0_wnerl dam $ignaw ctor/Cicesbse t3oWer
A ,
The ffo ©ng ios>wument was ad ledged amore ane The-ftoft ins�ra,srasent antras acknowledged beff6re retie
Phis ofo �� . � ��� tltis� ay of 20 by
.,gxnnsm,Ey3s Jwyym ateanc-vsLyra wyr�,s
(Hame of persons acknowledging)ng) (Name of person acknowledging)
1
Sagnature•of ido a>y Public Sate of Florida) ( igna2asre tiff Notrary" ic.--S�e of Florida)
Personally Rhown x OR Pretested Udent'bion pe 'sally Knmm x OR PrasacedIdenftcation
Type.of Identffication-Pmduecd Ty ps
1i ---- •_ i SUSAN LAFLEUR
rrsi ion no.� .t*R••' suumi m conn �• � MMISSION#GG 3SU&5 l�
+e *; MY COMMISSION#GG 356204 �Q�°`,•� EXPIRES:February 23 2423
--,,OFF;a;o Bonded TIvu Notary PubHo Undetwdtera
REV&WS FRC KIT 7-OHING SUP-ER91'WR DIMS Y METATON SEATUR-FLE tilBMGROVE
c6umm REVIEW REMEW REVIEW— HeVialf RE-InEllli REMWJ
(DATE
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