HomeMy WebLinkAboutDankovic AC Change out Permit app pg 2 001Name
Address:
Cw State: _
Zip: Phone
FEE SIMPLE TITLE t OLDEFL- � Not Applicable
Name:
Address:
City:
Zip: Phtane:
koN:
MORTGAGE ANV-- — tat Applicable
Address:
City: State:
Zip: Phone:
Address:
Zip: Phone: -
was:mod .B:esssaaaszsr�-rss�va:Apptscanon'sherurymadetoobtain a pzmdtto clothe nark and installation as intficated_
I certify that no work or instOn has commenced prior to the issuance of a permit
�.__ .........• ...,,,,....s.,,. .„,:. ., .+a:wr. 4a,es. oyeaws orarro arvemnts that Troy restrict or pTahlbti Such
structure. Please consult your Home Owners Association Wd review your deed for any restrictigns which may apply.
In consideration of the gtanting of this requested permit I do hereby agree that I wits, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Cube County Amendments_
The following building permit applications are exempt from undergoing a full conclar ency, revumr room additions,
accessory stoo"b ares. swe"Moung gonst feahces, waft signs, screen reorats and accessory Uses to another non-residentiat use
WARNING To Owma. Yaw fanure to Record a wofilke of coop r€tentereterrt may result in your payildig,tvdce for
i rigrw.emerats trs your property_ ? i3t)fice of CflrnrneraceT€IeT?tmust l e r?ctsrded and posted on the jobsite
before the first ihisgaectiora. If ytsar irat�nd to olatain C tancsne ttr.isult �rifh nrt�x ter: arr�,..a t nft,e
LURI
of
Signature to�wnerf4-esseel£on#raetnr Agen#isr v�ner 5gnatureofContractor/LicenseHdder
STATE OF FLORIDA STATE Or- MORIDA
The forgoing ent was admawledged before me
this day�yAf__ 2E So by
VkhaeA
�' DD 17
Name of person
iinaking s9tement
Personally Kspawn OR Produced Identification
Type of Identification
Produced
{Signature of fir'- Statf!FATINEi"P14WELL
°4 Notary Public - State of Florida
commission N ' mission lAS1I1017839
My Comm.
P,F F BaExpires Aug nded through 0ib National Notary Assn.
The . oing instrument was aciatowledged before me
V* `J, ytof SU a14_ 2Q ZO by
ludic" e 00yte.,
Name of pers along star ment
Paasonaiiy Known €lR: Produced identification
Type of Identification
Produced
natu a` Ic arsr Puhlik- ate of Ronda j
r'ri„ CHgISTINE 7GG
rniSSi
is -ori�a
•= Commission 7839
My Comm. Expirt vmn
RcV€Etkl{ P#ti}ihft' 'zf3IN3N 5°JPEIiiFtSOR PLANS RQ
CIItif1ITER REVIEW REiJ€EW REt EW REVIEW REVIEW REVIEW
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