HomeMy WebLinkAboutBuilding Permit Application (2)SUP PLE M ENTAL. CON S'TRUCTION L.1 F Nt A -W IN R)RPOATION
DESIGNERerr ...,._:.• - ........
JENIG I NEERAppH....... . . ........
N L e
MORTGAGE COMPANY,: Not Applicable
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A d d s: NW %thl
C'tY* virginia Galrdn""(;'
Sta t
ZIP :
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Address:
C' Y4.
State.
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zj� Phone,:
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FEE S PJ• TITLE HOLDER Not Applicable BUNDINGi C-0MPANY.,
Not AP'I'cable
Nam c�:
Ncwme44
Addre-�LS.
i.s
Ad (i
city
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Z' Phone-�
7- 1 P Phone
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OWNER/ CONTRA OR FFIDVW, Applicat'lon 'is hereby made. to obta-Wi �i perryl-01, to (j,01 . .......
-d'cated,
I certify that no work, orinstaHat'on i)C+--' cothet work and itn,s-ftaff�.itlon as 'n I
rrirnericed prig, to thei'ssuanc(I or a permit,
m't w i d0thor'ze r)enrn't, hioldei- to build the SUl'.)JeCt StWCtUre,
$t. Lucie CoLj'Ln't !n�akes no
whNi"
is, bViaw- o d cov-';-iantt.
s that t n ay rectric ib't such
cin fict With ally lot-ne Owi ers,As'
11�1.. > n n
U aPP1'cdb"e f --.,ociation rult or.proh' I
SLf PIP -;)Se consult witl V onle 0wners As-s.oc and review your deed for any restrictions which may apply,.
'�r e' a rt --,le. that 1, will 'I
In consideratf'on of the )IS requ(r
grantlrj- I PIL Ily 9 n all respects, perform the work
in accordaniCle With the fapproveci plans, the Vk-'Jda Building Codes and St.Lublurity AmendLrr'(-'?nt5,.
The
following building permit applications
are
exefyipt frOM Urld*�%Of'ng a full
cor-i(,',urr(r Icy reve Nrv. t-ooni
>
d b
ad !-tons,
accessory str(ittures, sw"mm
I tnS
po .
01s, fences,
wall's, S'
191"s, scroen orN-is �,iricf
A
accessory uses W iianothfr
non. c'.!s ('e'rttiai Use
"WARNINC; TO OWNER'.' YOUR FAiLURE TO REXOND A NOTICE OF COMME14CEMEUT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMEN'l-.5i TO YOUR PROPLtITY. A P40TICU` OF COMMENCEMENT MIJST IDE RECORDEI) AND
POSTED ON THE J01a SITE BEFORE Tflkf FIRST INSPECTION, IF YOU #NTEIYD TO OBTAIN FINANCINC, CONSULT
........... EVORE RECORIDINC YOUR NOTICE. OF CO N
...... ........ .. ... . ......... M
...........
Signature of Owner' Lc'4�(&--/Contractor fyf`:.ItLlre- of ContractorjL'
f tt r 0 w- n i
icense Holdpr
STATE. OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
tonstrument w., -is W I (-,.s d g bf,--�fov-e 01C,
,goil g -�3 C N' ri .0
this day of
je 20 [IV
- - - -------------
Namc, of pcvr5cm makinp L"I.
teme. nt,
flerson.a.-Hy KnownIon
OR Produced I ldent'�fjcat'
Type Id Pntificatlorl
Produced
.. ........
--no w
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aim
(Signalf%jre of Notary Public- •'Sta c) 0
te 0 f, y ?1JBtj(;
/A OTAR
r1_1
-T A"----
oriiniMlon S'
fi 21-202
REVJEWS
F� R 0 N]
V I
C 0 LJ N'T'E R REVIEW
. ......... . ..........e
........
DATE
R E C E I V F. D
- --------- ----- - .......
- -------------------
DATE
CO M P L H+�E D
F orgolfli-! Wisti'unlerit wa,,;- tA(-knuw1edf,1, d before rn e
b y
t h 05 day 01
iA
N-C)rle 01 person m, -Ai< *? statenlent.
Petsonally Known OR Produced Identification
Typeca ofldc�,ritifi
f I - tion
Produced___..-____, ....... ........
F.
(Sif� 'ture of Notary PUblic State of Flo
PLANS VEGETATION
KC� V, 2 1. 9 .......... 1-1-11......-I .................. ...
r]
SEA 'TURTLE
R-EVIEW
I
Shanon O'Shea
NOTARY PUBLIq
S-fATE OF FLOR4
Comm# GG2580 j1-1
vv�
MANGROV["
REVIEW