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HomeMy WebLinkAboutBuilding Permit Application• COMPLETEDi FORAPPLIC ATIONTOBF�.ACCEPTED DivisionDate .:Permit Numben�� Planning and Development Services ication 8WIdIng and Code. Regulation 2300 •- • OL -R '_'� �. �' 9 may'' ^` `CJ,;�•i`'E: .. E.k+.c,.r.�.,`. ;�Ca 'r r ySy.,r Ky*'^.,_.,•..�y�°�rs � e ,� �'+i �_`..• 9�� �Y y � � � ^,r-.. �r>,�.:ry�",.., �s•r^+, •"Zf;S�"f`R='�i�w--. 9:rbc.,,..��7�]L-. :. it, c � n,�� L'.:r, �.sJ:��,.;�.�iz; , �•T�+'":ts�: ret ��'�'Y,'�;���: 4`i.... r-_ .C'= kT.; x:r, 1 � '�Ec4� i '� a]�, I y.•y� zi:%rr L'• t '£'}ti"='�Si:'i�i'f ra .�" rir�: • • � � � y� i `k}m�•rs:m �:dsc� �.�. t���wf xl >� �;r?'fir,',-hi ;r; ty;J7lyr��r9� . / • � k!ti(Ya`.�R".e�}�i�`J4�;?r""� •-�'3"ik�"�c.::..'i�._'IC�' �v �re� fl sf EtI_Gs c'S 3 7 _..i �r" _ 'fir'+ .� �.' �?.� ¢iM,l is �:,r 7'x^%' „5a �" E�-" 5��'1�" " •k'r �'�rrw.l , 3�3�� rrw� � , '� � ;i- � • .. ��� �- ��j,;jp�:,�� s � t�arE7<'G' . . r ��f8 � cr•y,,.7.,,�,. �'*u•��t..-'-a"''-•¢�'s'l��a�"'a�'�S��Ct3; � %� �� ��f• �s. ct `�'J� wl'•-n t�'•i•'�`1i S � s0. t" r'� � ti �.. �•�� ,,5nx i. � 1 a v t v is b� � L r. �}.:gF�-�'"�yiSe•,�1#;'s' s i. SF,; q1,5 ,..••ry v �" 7 .-�.y36 �`i!-,ut�'•••d::ii�l'u'+']��, rw' i 4� 'LS d c•NNew electrica I Meter Second'Eleiftrica 5. ® .a' � w, � ivy vry© 1F� ,l7p' ' 6 ti ��a- jj„y a �,•-`-z Additional ..t -�,� • S" �' j — 7l �` � �Lr�� � �� rt��' ;k��d'�t�i r � �r� ,�� r�d�ti�. r` , r work to be perf6rmed —Mechanical Gas Tank Gas Piping Shutters Electric Winclows/Doors '• • —Plumbi ng Sprinklers Generator ' Total• FtConstruct- Pitch • •. • • • • , �' Utilities: Sewer a ¢ '• n ^ lgh M i rrnr+�i1 :,.su-t.uwa�ertt.s,•^.�racn�.'. Septic. • _ m'�I•�"^" wncvnti�ei�u�u,an - n -,. en+aavri i?r+;r,-r+� Ensi `3L; "yo-c v �l 4"e t, E��:� Name u �a t s: sL xt�_ s��K W" Address: �'0� N'aPne:_ ptiJrL(� City: f��CC� ` Company: B State: !Address: Zip Code: :3 Fax: . Phone'No. City: (?�. E-Mail: Zip Code: c_ Fill in fee simple Title Holder on next a e. Phone No Z from -the OwnerJisted above) p g if different E-Mail State or County License If value of construction is 2500 or more, a RECORDED -Notice of C If value of HAVC is< 7,500:or more,,a RECORDED Notice of Commencementment is required. is required. State:_2n� _ Fax: N Address: '71 71 SIR ppicabld ble Address: -t kable Not Applicable Addr BONDING COMPANY: OR,.AFFJbV!T: Application Is he' rariting.apOrM ran covenants th� structLTre­.'011e_ase cO suit ermit, I do hereby agree that 1 will in all respects, Perfc) In consideration of -the granting of, this requested p -Codes and St. Lucle Cburi Amendments. o ice signature 6 Contractor/License Holder - V.—Ca/ -nntractor as Agent for owner ugna-Lu"zV^~.,,, �T�TETOF FLORIDA COU tried) in cribed before me of physical Pre ence or online Nota Sworn to (or affirmed) and subs tion s 20 by Physical Presence or —Online Notpriza diy'6f qj_0 by statement. ~� d cod|dontificanon_____ Type of Identificatt Pr ced REVIEWS \ �x�/m/ \COUNTER Namd of person making statement- OR Produced | Type personally Known of Identification. � � (Signature of Notary Pub � ' Commission|^' �OV�E ANGR �T T W 0 S �EA P� W R ELVI E R ETVU REVI