HomeMy WebLinkAboutRoote AC Change out permit app pg 2 001Blame
Address:
State:
Zip: Phone
FEE S$lYllal$ TITLE I l at Applicable
Address:
city:
ZiP= Phone:
MORTGAGE ANY_
Name: —IVot Appli€ able
Address:
City: State:
Zip: Phone:
ilf
rip Phone:
OWNERI COR_
Applir
cation is hereby Made to obtain a permit to do the work anti installation as indicated.
cerYifY chat no work ar instal}ate
ation has commenced prior to the issuance of a permit,
+
------ - --•-•......,."', wl yi e - nvme Uwnen Association and review Baur eeri fo arty r+ i may restrict ror Prohibit
r hibit such
in consideration of the granting ofthis rLquested Pernik i do hereby agreethat i virii, in all rreswcs, perforin the work
in accordance theapproved Plans, the Florida Building Codes and St e"Luca "WU, i Amendments
follo
The accessory
str building permit applications n are exempt from undergoing a full wrrenrrertry, review: room additionsr
accessory siruchires stivimming pools i?nces, wails signs screen rooms and accessory uses to another non-residential use
WARNING TG O Y failure to Record a Biotite of Cottsrtaeac My result in your PW Mite for
improvements to your pmpertY- A Notice of rnr encerrient must be recorded and posted on lire jobsite
before the first Inspection- If you intend to obtain financing, consul[ with lender or an attorney before
Commencing work or recording your Notice of a fDrY+nRanrcmaRa
4 z��
Signature o: owner CoLesseeTr Agent for wirer
STATE OF FLORMA
COUN OF (uCiL
The forgoing Instrument vias acknouriedged before me
this 111dayof Nov. 2020 by
(tctet F. 13u Ie,
Name of person tement
Personally Knvem OR Produced Idersii&'cation
Type of IdE§rtification
Produced
(sir -nature ir`. Notary Pu —tate of
E
Signature of con ractorIlicense Holder
STATE OF FLORIDA 5. l �l lPi
COUNWOF
The forgoing instrument was acknowledged before me
thiski,4% dayof Na_.y.207p by
-- --ice F !e,
Name of perso :aaldng statiment
Personally Known OR Produced kientification
Type of Identification
Produced
Commission Nn- ,,•tinv'7 -,.- CHRIST �fCE CGNwELI .� �f;. Notary Public{te of Florida
Notary P� Btate of Flo
commission No. i., F Commission $_GG 984701
` Commission R gG 984701 r ly-Comm. ExpivarZ1, 2024
c,. My Comm. Expires Aug 21, 1024
Nota Assn. Bonded through National Notary Assn.
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