HomeMy WebLinkAboutBuiding PermitA!! APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number.
ar-r �eveiop, rier, r Services
3L..i;djng and Code Pe-gularior. ;;vision
230C Virginio Avenue, FO- Pierce FL 3498.2 ) A -62-11D -78
Phone: i-772) 462-1553 Fax:: k '772 Z
PERMIT APPLICATION FOR.
�r
ega:t Description: ?252 3q -
Tax
S:te Dian Nani�
p,p:ec-E Narne.
Building Permit Application
e-ommercial - Residential
-1
. -+ kin
night Side:
t apply
-hr tuna w0 to P` ffbirmed L;nder rhtS perm rt e 7 --IT -rh Shutters I/windows/Doo!-s
mecha j a: C-aS Tark Gas Piping
C — —
P 1 r. b jorin k
riecV!c
SC,. ct. of':Cirst Floor:
Ft ronsTrucTiOr':
-es: Tic t3uilding Height:
f-cn Sewer Sep
S
NaMe.
r J
�0-ny. !III -r' r f i sc
w
Address: 7-0/), a Y) a
Tlpr�?i a" ate:
y�-f
L- state:
Zi ode. A
-7ip Code: 3ZqS 7 =ax: L2- I
No.
Phone No.
till in fee sirn le Titie Holder on next page if different
Or County License:
'rorr, the Owr er listed above)
if value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGNS–RIIENGINEER: — Noc Applicabie
Name
Address:
Ctv:State:
yip: Phone:
MIORTGAGE COMPANY: y Not .App!icabie
Name:
i Address:
City: _ Stat
Zip: phone:
FEE SiMPL,E TITLE HOLDER: Not Applicabie BONDING COMPANY: ,Not App1!cat to
it i Nome:
Name: F
Address. _ Address'.
r;t,:• 1 City:
zip: ph0! e: .Zip: phone:
i
IhB; '1:: work or :r!StallatiOn he'S COr?T2nC.d Df1of t0 the i55u8:ni;e C' a •.^.er _nt,
t. 5,
S'. _UCF: Courm�]y stakes no repr,-g4ntai.ion that i5 granting a permit wdi authorize :he per -nit ^older to build the Subject 5r, UL:ure
writc;' ;S ii cotlitim- with any applicable Horne Owners Association rules: bylaws or anG cov?nants that may les:ri� or pro?ibt* xi
strut re. Phase consul, with your Home Owners Association and review your deed for any restrictions which .ray apply.
n Consiuerz:ior of the granting of this requested permit, 1 do heraby agree that ! will, in all respects; perform the work
tib c r
accordancelwith the aonroved rja:ns, the lor;da Building Codes and+ St. L..:.!e COLn<..v Alae^dmAn'=.
:"he followingwilding permit applications are exer-rpt from uneergoing z 7'uii concurrency review: room auditions:
cCC25So'V SZr JrmS, swirnmin
g poo#_, fences, walls, signs, screen rooms and accessory uses tc encther non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A. Notice of Commencement must be recorded and pts:gid on the jobsi-e
before the first inspection. If ycu intend to obtain financing, consult With. lender or an aitorr.ey before
rnrnr^rncinE work or recording vour Notice of Cemmer!cemeir,
Ile– -0 he Notary S�
Public State of Florida
,P Ashley M AntOne li'
a tsed G7;F i5 `20 i 4 y�� w �i MY Commission GG 752970
3
or *V Expires 1011812021
ure :'' N�,4ry pu:�,Ii:ate16f =lcr1da
Persor•aily Knu _ Jn Produced ider,cificaoon
Tvpe of !dentificarion ?reduced
COr'7r'niSSior tiC.�� j I�eYll
R=`:'c V':'S FRONT ZON!NC- SUPERVISOR PLANS
COUNTER REVIEW REVIEW - REVIEW
COMOLE
Notary Public State qY Florida
My Commission GG 11152970
Expires 1 o/1 a/202l 11
VE'GET.ATRDN SEA TURTLE I rVAN GROVE
REVIEW RtV)EW RrVi W
Sign3iur=;�r-�wr.e�; t.�sse<;q�a^.
OF Fi 0
rgnaure or Con`ra��cr; ? rcense !+otos.
'STATE OF FLOfi{fl�A
STATE I
COUNTY OF
COUNTY CFF �,
1!I
Ie.
11 'i 111 o'ng insrru
°f•rE^, m 11' w35 ccknow:edge
^JM`��'Ipore 'fie
J
� The `� Ging ins:: �- �va3 iG�tnowrO C��e r"ors '^•
i c��/{, 7Q by
this //1 day of
nn
Sc or Der<or, aci<newiedei-ig)
(Name of perrslon acknow!tGglr?g
b,
Ile– -0 he Notary S�
Public State of Florida
,P Ashley M AntOne li'
a tsed G7;F i5 `20 i 4 y�� w �i MY Commission GG 752970
3
or *V Expires 1011812021
ure :'' N�,4ry pu:�,Ii:ate16f =lcr1da
Persor•aily Knu _ Jn Produced ider,cificaoon
Tvpe of !dentificarion ?reduced
COr'7r'niSSior tiC.�� j I�eYll
R=`:'c V':'S FRONT ZON!NC- SUPERVISOR PLANS
COUNTER REVIEW REVIEW - REVIEW
COMOLE
Notary Public State qY Florida
My Commission GG 11152970
Expires 1 o/1 a/202l 11
VE'GET.ATRDN SEA TURTLE I rVAN GROVE
REVIEW RtV)EW RrVi W