HomeMy WebLinkAboutBUIDLING PERMITALIO APF191...--1CA3-LE INFO MUST BE COMPLETED. FOR APPLICATION To ACCFPTFD
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Bui - Iding. Permit A, p-'plication
Mo. n In ing and D-tevelopment Services
Building and Code Regulation Ditf.'r,51"on
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23*00 0-ra.- inixa- Atte-Rue, Fort Pierce �cL 3J,982
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PERM. -IT APPLICA-T*ION
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ID 341 9=565111111111111111111.0054-zwO004e
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Site., Sian Name,,
Block No.
Proiect Name, Jacqueline 6 Kemmeft
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Cost of Construction:$ 1396 Elm
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PORwrl ST LUCIE FL
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7725336369
Phone
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S e:�nL� t 71? C B u i I di n L-Y H el"eh t I
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omuan' FLORIDA DELTA MECHANICAL
Add ress
8402 LAUREL FAIR CIR. SUITE 111
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'ip Code.%
33610
866-219-0729
Phone No, 866-w219-0880
FLPERM[TSPDELTAMECHAN1(;AL,G0M
State or C.Iountvjf "License. CFC1 r.4 /2" 5 9 17
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If value of constzv'ucfi1'on Js $2500 or more, -a Not;Lce of Commencement,., mirequired.
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Add re ss : 55 N-Jardain Rd
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FEE SIMPLE TITLE HOLDER. _ Not A p p I ica b'le
N a m e
L Ad d re ss: M02 LAUREL FAI R CiR SU I TE 111
City:
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C'ty: TAMPA StateF&W
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BONDING COMPANY: Not App11%g"m%a bile
Name., -
Address:
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OWNER/ CONTRACTOR AFF1DV1T-.-% April[C.'a-Hon is herebv made to obl[ain a permit. to do the work and installaition askndilc-al'-ed.
I ce rtif y that no.- work or: i nsta Hation ha s --c..*orng t-,,,,ienceci p rior to th e -isizLuance o 14 a permft
St. }amount makes o ontha-�-�granting�authorize �bullaithew h n sub i uctu
il"n
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I 1 t h n cable., HomeOwe 4
such X -t
4t s-e a e
structlur= Pl= se nonsult with your Homi.-a.- 0-viyne, s Association and review YoL2 e for anyI �� hi may a ply-k
in o L Of thegrantingto � erghereby}do that n [ �� Lpew-form 1,
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in accordan-%4:'-,P, wii-ch. theappt-oved plans, the Hocrl a Buildi'ng Codes and Luci-e County Amendme -t...f
The 11owing buflding perm, it " � �pt r off'°` i i rgo a ` fu'l v em i ;,roomi
addiaons.,
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accessory sf.-ructures, swimmng pools,fences, wally S iigns., screen rooms and uses to anot-h,r no i_ d n use
In 07
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jmpio-ovemenTS tO -1 1
beforx.--,-.% the first If you
co m in e ork.pr recordi - ng.-
09--V- -9 W
Signat oi Owner?k-;.,�.,ssee
intend to obtain finai"ic`ing, c..,omsu.1.,
t wj"' t C h I
"!T Not-',,"ce D.f Coi'-nrnenU. E�
o ,frecfor asoC-xLgen� for Owner
STA-� b E OF FLORIDA
CO-UNTY
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The forgoing irristrurnent was acknowiedged
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is day of bv
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Name of pers.;Lon makling mn
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sonally Known. r OR_ ProducedIdent&& ! �Uun
I'wype of Identiff i . -ion
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STATE C-F FLORIDA
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