HomeMy WebLinkAboutBuilding Permit Application All'=APPLCCABLE IWp W BE CQItAPMFED=E.QR APPLICA 10 NtOBE ACEEROD
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�2.8M.Wgrnra Avenue,Fri Pier-d;Ft 34982'
Phone (772}462 1553` Fax ;(772 461 1578
IVI'IT APPUCATICIN l=O,E
Address..2604 Sterl�nt3 I
,Prope'rty,Tax_ID#tx 1432=807 OQ87 OOO�U tof'!Vo 329,
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.Protect:Name / �{�!►'���.�rC�"�Pc �.�j���. _.-... _ _ �._, _ _ �Y m_ ,.. ______ _-_,______.__.__ __ .__.,
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Additional worito he.performedi under tki"s permit–check all that apply:.
_Mech'an c f —130s'Tanki as Piping{ _:Shutters _Windows/Qoors; Pond!
Electric t/Plumb►ng Spri ►tilers' __.OeAerato.,r Roof P[tch; .
Total Sg' Ft of Cpnstructian:; Q Sq.Ft; of 5 t,Floor!. ._
CostofConstruttion $: ._Sewer Septic t3uildngHA-ht:,
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-'�T__ )>✓I2C.� State. . Address ��o�:_.S:aN r.��t�i�� ��e �
Zip Go.de: . Jrax City;
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Phone NQ-7-7c2— Zip Gode -
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F�11-in feesm.ple Trtle'Holder ori iext:page(�f different. E;Main tl�t Q tt�VtiC7Ca® U*�0` -SCA .
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i fromthe Owner,fisted above): State or,County License4
j :1 valueof construction►5 2500 or_,more,,a,RECORDED:Notice..of,=Commencemerit,Es squired:
"ff value of HAVE'ts$7;50.0 or mare,a RECORDED Notice of Commencemerrt,is:requied:
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