HomeMy WebLinkAboutAckeridge AC Change out permit app pg 2 001StiPPl�I€M�AL C� U€�r BEN %�W il�#3tHf��l€341:
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Name:
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NiO�Tts146E CONlPAl1iY:
Marne:
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City:
Zip: Phone
State:
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Zip: Phone:
State:
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Marne:
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CtiafHPAIVY:
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Address:
Address:
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OWNS Ai FIDViT: Application is hereby trade to obtain a permit to do the work and installation as indicated.
i certify that no work or installation has commenced prior to the issuance of a permit
StLucietou�y_ norepresentationthat sgrantingapermttwillauthorize theper"aholdertobu&ithesubyxtstructure
Which s in #1i wont any tictable Home f3w t�s A4sotsa[iwt rotes bylaws or ais coxettanis that may. restrict or prohibit such
strucuuree. Please consult asrth yourFame Owners Association and review your deed for any r�tisctions which may apply.
in consideraflon of the granting of this requested permit I do heresy agree that t will, in all respects, perform the work
in accordance with the approved ptans, the Florida Budding Codes and St rum County Amendments_
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, wads s€gns, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a N of tray result tat your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, Consult with lender or an attorney before
�mmenrvn work or recordingyour Notice of Commencement-
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1
Rev 8/2117
The
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signature orowner/ LesseeJCaittractrr Agent for inner
Signature �Cottiractar/license holder
STATE OF FLORIDA
SLATE fi€ FLORIDA
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