HomeMy WebLinkAboutBuilding Permit ApplicationAlt APPUCAai E INFO MUST BE CA)MPLETED FOR APPLICATION TO BE ACaFTE, D
Permit Number:
Bu1Idling Permit A pip Iication
1lanniag cmd Development Wires
SU40-my oncT * iRcvayutron Dntwon
Wrgift a AWnue, F r.,r r-1 349.92
PhoD,1r;--. (772) 4G2-1553 Fax: { 2� 4a2-1578 Commerdiall Residential
j
PERMITTYPE:
j PROPOSED IM P P OVEM E NT LOCATION:
Lot 14,
Site plan NiAmc�: NO& No -
Project N-.3me-
-r L.
e lop"
C�_N STRU STI ON I li l FORMAX t°o r
I'.- 1,1dtic i7al %wk to perFarm,ed under this permit - check all tFtat apply=
—M h a J — Gas Tank — Gzm .pl r7g _ 51-wtta-s —44mlow-./Doors
Pl.umbi r g yS.Onklets Generator Ro-af Pitch
Tofai Sq. Ft of Constru rtion:
Coit of +Constructic n. 9 C
5q_ Ft. of first Ffoor:
Utilities: i Sevier _ Septic
OW rsERAESSEE: t -
a tiJ a fin. f-
Addre�,v U-0
city--- JEr A C---
zip : ,, Fax. All r1
Phone No. gL l - 15 ZL]-A
E-Mimi;
F91I in fee SrMpleTitle Holler -on rrext page (if diff"ent
from the Owner Fisted afsoye)
Building Height: _
Company: +`f es-Ly��.� c
Address: 'i - r { ,+,+ 5
Com+= _E�' Mate=
Zip Code: ' 5 YJ _ Fax- . r
E -Marl .+r i` 1� i`
State or County License
If value of construction is $21540 or astir a ADW Nct oe of nrr1CnceFmnt is required.
1f value of KWAC $7,500 or Fwre, a RE DED Nutbe of Cbmacorcement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERJENGWEER_-, Not App fica bye MORTGAGE COMPANY: Not App liica b le
Name- Narrn�-
Add ress Address;
City: Sate: ate. tate;
zip; Phone Zip-. Rhone;
FEE SIMPLE TITLE HOLDER: N tat Appl 1ca b le BONWNG COMPANY- —NoI.Appkable
Name; Name -
Address: Address:
City,
Zip: Phone__zip: Phone -
OWNER/ CONTRACTOR APFIDVIT- Appliv.)Son is Mer ov made tv obtain a Permit W dO the Work Md installation as indicated.
I certify V6*1 no w" w installation has ciommenced prior to the issuance c a permit
St- tucie Cwrkty roakes jio r-epircy-mUtion that is granting a permit will authorize the perrnit holder to hLild the.subjea stmetu i,c
Whkh is in canflict with any app5cable Horne Owners AssociaUan raleSr bevUW5 or an coven is Mjt May P"trkct -of prohibit such
structure- Please cancoll vAtt3yow Komc- Dwm�:r% Association and review your deed for any restriEtions. whir -h may apply -
In consideration of the gn)ntl fie of This r4tcluested permit, I do hereby agree dkTt I WdIr in all respects, per -Form the woA
in accordance wM the appruvL-d plansr the Ftarida igualding Codes arld SL Lwie purity Arricndmcn-ts-
Thefolowing budding permit applirmon-5 are cwmpt from undlerg4Ding a full cionfurrency review: room additions,
aCC&SE.Ory structates, Immming pools., fences, walls, -signs,. screen roora-s and %0:eSsory Uses In nni)ther nrkn -rc5idential us -e
"WAW RM TO OWNER' TOM FAILURE T3 RECORD, A NOTICE OF COKMENCEMENT MAY RESULT IN YOUR PAYINU
Ir"ICE MR NWFMYENtENTS TO YOUR PROPEffY- A NOTICE OF EOPIKEN)CEIREIVT 1114MT BE RECORDE11) AND
F4)STM 01119 THE JM SFIrE BEFORE THE FIRST 1NSFECTIOI14, W YOU RTEND TO OffrAJK FRIANEM, OXdSMV
WFFH YOUR LEMER OR AN ATrCRNET BEFORE RECORDM YOUR NOTKZ OF COMMENCEMENY."
5 Lure r/ Less eq<6nu ad—b—irl % Agent ion Owner
` FLORIDA
OF
The fGnWm_g -insbument was.30now*tfruO helrcTe me
do-Vof _,20j_C�j by
Name of person rnmkiing,.talt.-rri,-vit.
Personally Known OR Produced Identffication
Type of kMnfiffsyrian,
f Kotxty41dW- State of 41
7
c
W, (Seal'?
REVIEWS FRONT ZONING S "Vr
COUNITER REVI EVV W ov i_
DATE
RECEJVED ;K
DATE
rnmPh FTF171
Holder
�
FLORIDA
OF a ) A&&, ;e
The f orpomg instFUnja�-.1 was ar-*rTnwledgeld bef6r* me
the"Jaly 01? -0 by
Nam- e ul, person making statement.
PcF5anaI[vK-tuwn ORProduced identification
T vneq F I d eri T� f" Ti LM
f Nbtare Pubtape of Florida)
No.
.7:
!zr v
PLANS I VEGETATK)NI SLA TURTLE I N4"9
W 0&Vj1
REVIEW REVIEREVKW CA-
A E &
at=