HomeMy WebLinkAboutPermit InformationPERMIT INFORMATION
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LOCATION:
LOT SIZE DIMENSIONS;&6 6 -,4
BUILDING SETBACKS (ACTUAQ:
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SQUARE FOOTAGE OF CONSTRUCTION:
DESCRIPTION OF WORK: iA
PROPOSED USE: :�,_ �, 11 � I
TYPE OF CONSTRUCTION/DEVELOPMENT ORDER: (CHECK ALL APPROPRIATE AREAS)
RESIDENTIAL: COMMERCIAL: `sue 'INDUSTRIAL: OTHER:
NEW CONSTRUCTION: EXPANSION OF EXISTING BLDG:
INTERIOR REMODELING: OTHER (SPECIFY):
EST. COST: lie) EST. COMPLETION DATE:
STATE OF FL REG./CERT #: COUNTY CERT #: V
BUSINESS NAME:
QUALIFIERS NAME: A::, .....
ADDRESS:
CITY: STATE:
ZIP: PHONE #: 7 76 - d
ARCHIT/ENGINEER:
ADDRESS:
CITY:
ZIP:
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
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PHONE #:
STATE:
STATE: ZIP:
STATE: ZIP:
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PROPERTY TAX ID #: I q z G ` S C ( (Do S �5 —
PARCEL SIZE (ACRES OR SQ. FT.)_
LEGAL DESCRIPTION: !at s `) , is
OWNER NAME:
ADDRESS: 3 q nJusr2,aa 3! N
CITY: 9�r r,r ,n_ cl STATE: T�
ZIP: 4u PHONE #: �c� g(s c;(, 3 i
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP:
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