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ALL APPLICABLE. INFO MUST BE COMPLETED FOR APPUCATIOI`
Date:
Pyr Nulwy`l.
Applica-tion
B Id n e
Planning and De.-.7.tvelop,-Purnent Se.,
Building and Code Rz,,,;P4uIa4Af"0t7 I}, ton
230-0 Virginia Asmlenu4e-p.-.,L Pho a (772) 462-'11553 (772) 462-1578
Commercial
A
Address-& 7309 Bob 0, Unk VV"AY
-2 ptiom
O
MAIDS -1 ONE ( PB 43"1
R1) LOT 55
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7
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P i -o Pe rtfs,'r i ",an X n -
Site Plan Name...,
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roj*ect Na pl..1011 Steva2 ty
..n T N4 1
5et'backs Front !L sight Side: Left Side:
-:17
V
T -7
-777-7`7
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*6 If Qfjmven T Moriarty
j
7 L 1 V". JAY
Address:
01
t LU L
C it State., FL
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Phone Z
W M
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���� "nr fee simple Title Holder on next page(if diffe��U:�'
-morre the Owner listed above)
3 1 ya:
U t t
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G merr
a -ILL
16
F
ri r
, t o'I"'
Lie
indows1)l. ors
Roof
�e���� Building Height:
7 7777
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•
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N a m.e: 1 410 R E 8, -� Eav, 1
D
FIUML,
DELTA MEC�'IANIGAL
,
Address 8402 LAUI-7�L'.- FAIR, CIR SUi i L
TAMf)A L
996= 12
city:
33610 866.21 9..729
u
&p Code#
Phone No.
10';zH6 L M-
`LPERMITSrd_
Sta-te or Cozunnty License-.
or more,, a RFCORDED Not,'ke of Commence er-O.: is required.
A vaWe of 1:6,
F
VL
"RTGAGE COMPANY: Not Applica 1-e
-aH/ENG1AN`hNEER.Dp i -ca
DESIGNE" N U L t-% M
A
weve n 5 onarty
A d d 730S Bob -'r-il., VVAmr
V ORT ST LUf`1-J!SH
>tate:,
,y Im
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ZIN 1we r r,
Name: E-NIN"11TRE R -0 -RF -V
7�os Bob 0 �.�r,K IWAY
Address:
TAMPA
S" ate
zi P Phonu.-
L 41-kPPIR.-able
Nall I I . Cc
107
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Phu t
y
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01.41NER/ CONTRA��TOR F'IDVIT'.' A u I
t jjt, L -L
ae 7co La, n a t�
r
I certil' that no %,-�jod� or Instafla- has comm rio r 0 ,r,, ua n ce
y N •tion M
o
d
tK tin do -"=h-,,= -t-r-t-eorl
,q-*
I In
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30
L C U re
�s 3n cor i
,'F1 ct w ith any p. �11 lie hS. lwtws or ani . cove a ni"'ksA -ldnat may
St* Counb i-',,ol4akes no rerNrE�*,s;en-L'-CLafion that -1 uranTin2=7 a nzrmtt lc-L'�-
P " I auitho"', ze twhia ni*;Ami 1 hol -r-, uild the sut)jr- struc
ners i- W,-;o,*-kasmome 1,, v-14 FH%V16 Lit Lion ?
restrict or prohl*bft such
+ Co revievu f A
msz�ociauon an.4
:,zt rtl ct u re:. s e co n su h
sj rour Homie r2hhxners d e e--, d r a m
y z i vons wnic may app y.
yg
M Itir
In ort.skiJera-con t I do
��x:' eii'grh,sv-,-,lueer o o r k
i n cco rd a nce w nt
r, a ,�
rovlzs
IbL
he radoni.- e da Building Codes. and' St. Lkucmlirie %C-Guntv
AE .0 L
-,-empt
I fit! ic.�mowing Quualng permita��€��aeicns are e.,.*,:f,undergoira�
�n�,
from a full room z"'
accessorlstr uLtLires, swirrtMin osais, tences, wails, signs, screen roomsan4 ZCC=SSr0Wy
USeS
io another non-resiaenriczl us�
WARNING UlAfNER: Your failure to Record a Notice Corr�,mencprnnn-.nt mf=f!-�livL-7 n--oa,�-.pqlt in vnnr nnvFno *uaxeim
1W %N IF 1.
ML
i m rove m e n't's co vo kA r 0 p ;a r cv. A Ncem
+ 4-
t ent 1W.r.NoticeLro m m e n ceL me
4
r
If
LUL"�UNTY OF
n Owner
a %F
h efv
e ib r o i n, -,v- owed61-
6 trumnl�,Lta-s ac'
gea' beroi",e mi
--h day of= 1111Cj 70 by
Nam, e of pers*"ft
n m 51-.41" k i n g s t a 1.4 e m e n "'C'
Personally Knm,,4vr��,n
T I L CIL i -0 il
OR Produced
Type of Id`" cation
P pl;
oduced
"Sign &'4hure oTp Nota'ry Pi
ItV th .1 W -IF 14
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.4, U;i'LY H.. MEDT tIA
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Commission Noo . my c0M. IbN GG JX)
61
FIM- x er M Ir V-1 I-- rl� n e, --I
Rev:,, 8j/2 11,7
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Sigrafure k)f�.�rtrdor/LiTense
F FLORIDA
OOF
Lod
f
mm=w M M
-vne Egoing instrument was a 'kunowb-adged before me
h.._
2, day of C!j C) Y -)t//02
A -L -iv
a�affi ��pa-,,T-son rnakingstate�-rieni:
Personally OR Produced id�ntifieati
V
Type of identifcatt00,,
Produced