Loading...
HomeMy WebLinkAboutBuilding Permit Application (2) ` N JOSEWCEPTED IA Wtl t0i j pie r NUM 0 Ji Op. w IM ®r k- MOW.and pfilt'lit Masi i ' Service Thdhev" 44 -1 ,(7,72 02'AW!"Ra: .711,462;' g��,, Rxe.sl '7;''Mm riqk:4 FA, "e't A Rl P )ertkakbi- Sites;b4l'W' aMe:;- `P—d-A 4;-, Shinglers 7 AFT-LI -nt: _I�aas -T-L-525' -fider-I Q _.,or ;-To 0*124 R24_.0 gyme s H_-!i An er_ s,perr�ifKthbt d' I.At G T64k�,',­ GaST ph;- _'*j ­W!*p"dd* Dpbr-s- 7 'T-�. --j-P Um los'­ SO-, w6fil Sq-.,.;F DDD' Cost of".65nwl Severer -sieptic name 'T -OA lJ! �j 2. sta SRAQ p:Code,- 4-P -�qj i E-manna,Lson&_-) P.on Va.Mhl Vall6r.lao e'.- !�s iucense­,_-� zo, tf value of constructronlis$25 or Wid-r -RECORDEDNdtl%-- if 1A mc J , U0( INP+11 QQ . t DS[GNER/ENGItt~Elt Not Applicable 4 ECiMPARIIt»' t1,I oRTYp - 1, ameArne e _ _ , Ij rAde�ress } ' City SfiateCity State; , y 1 "dip fPi�one _ t?We , I i F,EE StiV#Pt.E,TtTLCs HCi1.Qt;R= Not lfipplicabWf 'I' ONDINiG�CfJ 11PAYVY Nod A( plieable' Ctlamei, �Karn"e _ I Add'r@55 Add ►t�( _ � r r 55 III: QNEOi/,CrDN7t ►C'd OttAFFID1�tT�rAppiication is hereby made to obtairta permit to do the wofk a�td►nstallatibn^as indicated xkcertify that no work arinstaitation has;,Gammenced primto the issuance afiaJpermit„ St,Cuc�e Gqun-. „makes no:represntatian_that is granting a peKmit;wii{autharrze»the permit ho�tlertito build the subfe structure whfeF►�s tn:eait ictvutt t=:an�r apPlicableaiorite c3yvners Associatfot rulesr,t ylawst rranciycovetlants th't xXiay resff or prt�hibifsGch;_ struccture Please cosglf wrth your Norrie Owners-Association and� eiriew'your deed for any restrictions whichia apply Inconsideration of the granting of=this requested;perrr►tt,'x!da herebyagree thai [wttt;►n_att respects,perform the wcirk;- t in accordance av>tfi the approved plaMi.Il�is.Florida Building Codes and�St:Lucre County Arpendments .: , The fallowing building permit applications are exempt from uncietgaing a fWl cortcurreney rev(ew room aOdrtrons, accessory struetures:svri nmirig•pbok fences ,wa(Is signs,screen roomsand accessaryuses to anotfie nen r `sidentlai use: "WAR11ING g0 ci*iNER' YOUit FAILURE TO RECQiiD A'iOTICE OiF COMMEMC fENT'MAY'RESIJILT tM �'OiJR PAYING i TYrICE I flR :tMPiItOYEME t i6-rYQEUR;PItOPERi'Y A'IW16TICE,t1iF`CO#i'mu ttMENit AttT5T,BE iiikb bb6D'j id P!OSTEQ ®N 7iHE JOB SI iFE BEYQRE iG!#E iFii S i iNSREM" 0*`l IF'Y?U NTEl4iU,YE1 Obi AiM Fi109ANRCil1tG, CONlSUi T WUH, OUtP°I:EFV®EiR E1it.'A11�.ATs[ORNE_Y`i3El:(tFt _ttEC1 Rt1111[GxYOUW bi 614l , it 1 , r ' rF w Signature of Qwher/Lessee Can actor`as Agerit or owner. S- 40. e of Cotrtractor(License oiler STATE: QtttDA co�NTY of _,fit t�wG c L 4 ._ W _ coutvrr;o _:S ,. G c t e: .. { The forgoing instru ent,was acknowledged before me;, The fargoing;instrr� t wasackriawiedged:befar irne tth►s qday of" b-a }20 'ZU6jr, this day of Gt f'G V� Z0 I - _U ^t1 r \� Name gf�person making.statement iitarite of personkiriaking ^`teft n t?ersonaliy Known OR Produced Identification; Persbnatiy�Knouun C1R Produced identifieatiarr .T.y)e of Identificat;on Type.of tderitiftcation Produced - -- -__ Prtdi>ce' , f gnature of iVotary (Signature of Nota s � ^"'•�'••� _ l iSA 4A NE,PETE, �,it�ir+, L"FSA ANN, PETEFtSt1N . '0� ''State��f�,,F'' i'icia Nofary`Pubhc i •; � ��'" '" tate of F1' cka gtary Pu4�ic Comrissior�Nay r>!It'tF�� CtininissionNa �+ . ,,. G© card#GCs2201,tfi^ ommis �iG•22071x-, icy Commissipn Expires �a� iviy Carrjrss�ori Expires, s -,_- „?�;;••' .: k: -'mber..15;:2D22 ":. ,— ..✓ .��wnl�.. . 'bar.t'b2022 :- I - KING ;ySUPEitViSOR?, PLAN5 I "UEGEfATI0�4 SEA IIIRTLE ! I ANGR'OVE I' I �`REVIEINS, ,, FR4h1T ZO 11` COUNTER .:+ REUIEW REVIEW RE1lIEW. £tE11lE11t!- REViEW'v' REVIEW - ! 'RECEIVED _ - r L}ATE _.COMPLETED_K_