HomeMy WebLinkAbout1912-0099 All,AP PL{CABLE tW AhUSi'B6 CQIVIPLicTEi3 FOR APPi i'CATION. 'O 89 ACC P'i Eb
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�: 23.00 Virgr�raAvenue,�Fart Prer4e FL 34982
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s:' i .++f'd3?.s'A'ti:".rsha < r .t,! .."E•'=i.,'a•„$ :35,..'s.4�f..at" n'Ria....sPi :., h "`fieY �i.,``. 3`
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Add�tiot t'w�rkta be erfbrmett undpc ttiiis pe, It.--1che�k alt5that<aPPtY�
,MeehardealK Gas Tank; Gay Piping; `,ShrJtfers _„�ltlrnr�aW fRdsrs
Electric Rlutnb�ngr _5pt�rilets ,Generator tti�o R�tli
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- 1265 SQ
Total Sq :fit of Construction
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cost of Canstructto�i. _-_ a�{)lX �eWi SeP[ r s. Se r to, u Id t 6 �ngFie►gh �i
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Name�GARY.k PETZOl;D J[� _ ,. tVattte JA MES SNYDER
55 t2 Davis Street
SPI�RKS Et�ECTRICsAf,�CONT
;Gampany �,.
. :Address,;
aty FORT PIERCE,FL State: Adtlress._738 N\I BtUCK°HENDY V1lAY
Zrp;Cctde 34962 G at
Fax jr _5 1Ak T State:,
Zt , Code; _
3499
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FL.
E=Maft garypetzoltlQ @ comcastriet phone„4o C ).Fitl rn fge srmpte Tile Folder an next page(;if different E Mai(adm�n@e(e�Encfl eon(r
from the Owner fisted:abobe�j State or County Lrcnse EC 3 (57334::
(f=value,of corrstr ucEron rs$25Q0'or more a`RECORDED Notice of"CoiYr�rtenc¢mer�t rs required,
ff`Vatue of iiVA�'s�?;500°or more�a RECORDE�:Notireo�Gamrrtei�'�ement�isxeggi�ed.
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DEMNE ENGtNE R; NotAp t�Oabke;
l}�IO(0 WiF COI1' NY: . Not app tcab(e
Nain� Warne ., ,
Afclress..�
s Crty State f
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j` FEE SIMPLE TITtE HOLDER _�N&'Aopudable DING:COM ANY _Not Appl caste.
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AdBress:
City City�e
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Phone' `
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OWNER/CONTRACTOR AFFIDW l Application is frereby made to obtain a perm►t to do the work and,instafiatior as tndtcated ,,.
l certify tliat;no work:or►rstaltat�on has commericectp�iorto_the issuance ofa'�permit, �
}, St 4(icre court ,makes pa,representation that=rs granting,a,permft wallauthonze tfie ermit fiblc[er foburfd the,subjectitfucture _
whichls(n"con ►ct i�t!ith any appfrcdi to Hq. e: -wners,, oclation totes;bylaw ''or an covenants that:may restrict or p dhtbit such
structure Please co IV with yoiirHoirie Oyrners Assaciatfon.and review yourdeed faranyr_estnctronswhuli may apply:: =
In consideration of the granting of this requested pem lt,t da hereby agree that f wdl,trt.all respects,pe formtheiwar'k
in accordance with the approved plans,the Florida 8u�tdrng Cones,and:$t Wucie_County--Amendments.
The folfnwing:building permit app[icafians ace eiCempt`from undergofng a fait coacurrer cy review-room;'addrtrons,
acce's`sorystructures,;swtrmming paolsfences;walts,,s� nsstteen roor►}s and,accessory`;fises to.anotherron=residential'use
wARNING TW 0"ii{IER. YOUR FAILURE-TO RECORD�.AI NOTICE O!r COMMENCEMENT MAY RESUET-IN YQUR PAYING '
T1"IICE FOR ItMPROYEMENTS'TO YOUR PROPERTY Nt3TICE OF EOMMENCEMENT'IVIU5T'BE RECEf11RDEQ AND
POSTED ON THE JOB SITE HEFORE FHE FIRST,IN PECTI N.ff YOU INTEND TO OBT 'N f IRIANCINGi C011(SULT
BEFORE RECORDING:XOIJR`NO,
:1hlfHafpiJ _DEIY;:OR A ATOR OFCOM C n
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re,,ofOwnerj Lessee/C ractor as Agent for.Ownec' Signat j o: rs tractor/Lcen I:er
STATEOFFLORIDA TE OFFLORtA
CONNT1f OF ► COUN*1(OF,
-._:.. ...:_. ,... ..-..-..,._<.. .. MAR16_1TIN _
The forgoing instrument was acknowfedged before me The:forgoin"instrument was=acknogvledged E efore:me.
this=zany day of pproaetz 2Q t ' b ,.: g
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s,':thl1 Snit .S�r�v1Lc E:1ec� ne jIYYm S1%1 � ��d4�f�s'' �Ct:�r'iC
.Name of persowmatdng statement u Name of person,making statement
Personally Known X OR Produced identification __ Personally"Known x ,OR Produced=ldenttflcatbo
Type of Identification '3 ,- Arto�4 Type of Edentificatian, _
., - L�Rarrsa h
Produced _:" . _ l?rgduced`_. lt,
NO�f NOT/1FtY<`PiIB�IC
ARY pl78Utr
BTAtEOF __ STATE of FLOWp�R
' ,'- Caairnifl Ff86M41 � - ,Corms FF�814�t
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(SignatureofNotary ub State_of'Florda) = - (Signature_otNotayPu6lic= fai'e.ofFlonda`
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Commisson,No F1=°I'�+�F�i`ft
(Sea(} Corrimission No FF` 0 Seal
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REVIEWS FRONT„ ZONINGS S<yPEftUI5C1R PL%`,NS UEGEATfON SFAT.,URTLE: MANGRdVE ;
___. ,._._ CEIUNTER RE1lIEW' RE1lIf1N REVIEW RE17lE1N REVIEW' REVIEW
_...
RATE
RECEIVED � .
DATE-" __...... ..
COMPLETED .
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