HomeMy WebLinkAboutBuilding permit app pg 2 002DESIGNERIENGUE.M* Not
Name:
MORTGAGE COMPANV: —Not-Applicable
Narne-
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Address:
Zip --Phone
t Phone -
FEE SIMPLE # )£ram:. NotApplicakiiie
BONDING }y., "`.-.
Name -
Ad
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OWN,WCONTp -nut
I certify that no w,,* or instattation has commenced prior to • " issuance Of a permit
St t' { S 'r"f 4J Y� J �. Y 1` a• Yhe - a G a f ds re
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structusa Pia3se uinsilt a yrxs; #banel5s,rsJ4ssociarion and review your need for anyrestoC'tmns urs_xch tansy ap
In consideration of the granting of ibis requested permit I do hereby agree that I well, in all respects, perform the work
In accordance with the approved plans. the Rorida Building Codes and St LucteConrity Amendments
The following building permit apiskations are exempt from undergoing a full concuraency review: room additions,
accessary structures, swim utag pools, fences, vialts, stgns sueen rooms and accessory uses to another non-residential use
WARNING TO OVVNERz Your fagure to Record a Notim of Comirriericenvera may €fit in your paYErigttwke for
improvements toyour propett. A Notice of Corrintenconertt must be recorded and posted on the jobsite
before the first tnspectian. ff you intend to ob -tam IF inanctrs& constttt with tender or art attorney before
CC}ritrrtt'rtGTat WUf 1C r3s sen-vessea ven T.v.T..�. ...
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Signature of Contractorarticense Holder
1�7�LattiSE-E# iNmrt� lessee/Corm-actor Agent r
STATE OF FLORIDA I , VA
STATE OF FLORIDA
The ° insirumetttwas before me
bVday by
The %rgoinginstrument was acknowledged before me
then- ((44, day of J� Ol��^ . 2i(I LV by
this .20%/y
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Manse of� ent - _.....
Personally Known OR Produced ideati£rcation
t�tarrse of s� t
Pe€s�satip Known t)R !roduced tdetstittcateon
Type of Identification
Type of Identification
Produced
C66
Produced
sir^/ � sytiz
(Signature of Rtti (r wl�'•,:. I AI E CONWEII
i Y;'i Notary PubllFf St��cte of Florida
tSegnatureOf
ionsmission t``F"
a t S F task 3
�y�' CHRISTINE JOYCE C NW L
Public • StatJ�e��4da
Corrnatession No. i� 1 Commiss+ 984101
My Comm. Expires Aug b, 2024
'A Commission B GG 984701
'T'E"orn�
through National Notary Assn.
'........ •-' 21, 2024
My Comm. Tres AugBonded
��Bonded
N I
thro h N i
REVIEWS
FgOKT-
7-OmiNG
SUpERVISDR
PLANS
VE%TAMN
SEATi>RTLE MANGROVE
Courf'ER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW Rt-ViEV�
DATE
RECEIVED
DATE
COVAPLEiED
Rev. 812/17