HomeMy WebLinkAboutBuilding permit appALL APPLICAB9-,.EINFO aViUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.1�16f2�]2C3 Permit �z��et:
a a 6
Building Per--mit Ap-plic ion
to
Pla. n r,, in g an- d D e ve top rk ft, e n,,-'.- Se rV7 ces
Building and C;--.3de Reg-ula&llon Di-,osion
f 2r'Wi ids'. eairrEn ds;ant€p -Pnt?- pi"Aprrp Fi 149R2
9. -1 %- e-j".1 X
PhoneFax* (772146.2-1578 Commercla'i F-,-, d e nt i a-
Address:. 407 N 39th ST
iegal Descipt4 on: CLYDESDALE HEIGHTS BLK '! LCT10t0.17 AC) (OR 1094m2570)
-KW--Lt
P. a rty Tax I E� #: 24fl8-6Q2-OC�'�'I-QQQ-6 Lot Ncz,
Sifte Plan arse: Blockicy.
Peggy A KN.'ing
Set -backs Fr.ontBack'NRig t Si e;: Le:mft Si' ue:
Electric
as Tank
LJ Plumbi n.g
Total Sq. rl-t of Constructio-n
Rlf} 1373 m# Utt
I I ties
ci
ti
Cost of Cons
a s ME p'i n g
snr'inklers
Name Peggy A King
Address%t 407 N 39th ST
C12tv:Ffic FT PIERCE ----------- State-* FL
Zip Code: 3494$,, -, - - ?=axa
Phone psi. 772-626-3856 .� ---
I Fill in fee s1mr le, ritte Hb-- der on next page i if U1 erent
I from. the Owner 1i
sted a bo- ve)
if adx<e f r�s��st�-:�t#arse �s 2S€�o.r, � K-ip:q-
m DENofiice s��
e:
IP
apply*
�,ndows/Doors
Gei�4erator
F Q F o r,,.,,
Sewer Septi, Building n Heig'nt.
ame4t DIMITRE BOBEV
Coma, ny: FLORIDA DELTA MECHANiGAL
A a a r e s �8402 LAUREL FAIR CIR SUITE 1:11
C-ty. TAMPA Sta-t-e. FL
Zap cdeA 33610 � �;: 866-219-0729
Phone No.
FLPERM1TS@DELTAMECHAN1CAL--00-M
Stateor Couy License: CFC1425917ntv
mmen,.M-eme is reciui
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Addressk * 407N:39thST
C*ty- FT PIERCE Sta tie -XI
JIL zip:
Phone
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FEE SIMPLE ... t1t HULL)tKiz�
Name-,L
Ad d r:�, 84.02 LAIJ REL FAI R CIR,
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)OWNER/ CONTRACTOR AFFIDVIT:. i-Nppl,ica
^czrrter
ce,71,.Ty that-. no work or k:nstallalon has
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Name4g
Cftyj.6 FPPP-mFhbx
Au'd ress
t 9 M.- 4- t
ion is hereby made to obt,-ain a perMft
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pr"or "a she issuance m
n, do y��-fed.
the work n ins-iC-alla,tion
a ` �+ * M
*'; .d� bufld n l ect l u e
S-6%-'-'A3e ��� M��� T-1M � `a4.
-kw h ic h i s i n Y } i s aid versa that may s t o oroh"b suc., h
I 'for a Iny restrict1ons w i
T1111_ _ b ��q
I or a
gal "cable Home water Assoc
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`'. Owners kssodatiqn...n d r .
h'ch may pply.
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In cons[dA-,.,ration of the griamlMg Of t-his reques-1[--e..,,der m
ft, I do hereby agree that I w'[f,
ifflI
_ _
}YY�.9. thea Codes � S# County memx s�in 4 -� � Florida Bu � �
P,6 ions,
3 TU11 cnncur-eme-cv rmview!room additr
Tjonz a r e x e 1 47
The 'F"0,111ow.1h,q,g building perm"It applIC80- §MMt from
3001S ac,,o-esc-ory s�-rslctures, swimming;
fences walls,
jgns,, scre-cin rooms and aie.-Icessory s o h
your
T 0 wi`
pi3yinvtw'ce
WARNIN" ' T---0 OWNER4',', Your + nt mfal'tureto
ii I..e 4
mr)rovements
4 `' "�. eoanoty outpropert,
1= _ir_
iorl r
before the f irst. ins ect
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S.i'Lynature
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sSTATE OF FLOR'IDA
ST ATE OF FLORIDA
C -t. 1P
COUNTY OF
COUNT. Y O-Fr:
ji
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InStrumenL. was i5l-cknowledc?-6ad
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