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-�lT E�tjCENWLE ED FOR APPUCA` ION 7QM ACCEPTED
Date,. ` Permit Number: L ��
SuildIN Permit Appiicltit n
Plar+ning and Development 5eNkes
Bu kng.andCode Regulation DAdsion.
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3LTD 1aAb2n .Fatt.Pietce.t=t 34962
Pbnne:(7 2)db2-1553 Fax:012j 41W1578 Commercial R sidentiat:.x
i WiT APPUCAT}ON FOR:. Renovation
74
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ttsldress; 'a \ L 'lr�
Loo Description: p
Pr00erty.Tax 10.1f: . i 1 "-51(v - a,- C76 i3-� Lot NO._.
Site Plan;Nae:. tBlock too:
Project Mime:
Sefbaeks Front. Back:". Right'Sid ; i eft Side:
Rle
MAN Mwr. �M-
4
`..Via, s,.$ x� a - wall
sv_..ros .._ T'"- s` a
" ion car , rme un er is.permit cn eC a ap# :..�_ . - .
..Tank �as Piping Shutters Q.Vtltridouvs/Duors
Efertcic Plumbing Spnnlzlers Ceneratcsr .Roof
7ota15+q. t of'Consiii¢ticm .____. . . Ft of First Floor:
Cost af;Gtihstructionr$ � Utilities: Sewer.L Septic: 8ts}t}itjg f}eig}tC:
S^e w$. +.,ce3M`• try .. .,S
R mg
PUT]- MIMI
Nara 1� B Name: Justin Thiory
;Addresy O Company:.}stand Mdien'- Bath
G ty;�eLaeao `C'2k.o� State FL Address:-2340SE Chan
Zip Coder �"� €ax: City Pict St tads. State:FL I
Phone No - a-`�a�l Zip Code: 34952 fax _ --
E=Mai}: tom- Phone°No.:�Z.Z28?6a219.
ia}}infe s tmp}e'Ti#3 }folder on,next"page(if difieren#. f-}V}a�f; jthi8tyiktamaii:tm
Gib fi2.59505
from the ttw(er;tisted above). State or county t:izerxse. :, .
tf:it�}ue of eans#ru4tion is;�`v2 eUd'or more,a RtiCtiRDED Nofl&o£C,d* mcement js rt4uke -
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Name:
Atfdress:
Address:
GitY` State: City: - Mate:
Phone.: Zip: _ Phoir
SEElll(Ef!' :1�HOtt)ER `Not Applicable 8UlVlQiNG_CC}NIFAt1it� _ _�#ot:.Applicalile
Namei Name
Aire sr.. Address,_
City:.
ZIp.:. Phone:. Tip: Phone:
certify:that no work or h$%( 00 has commented prior to4he issuance of'a permit_
St.Lucre Coun�r makes no representat bn that is granting a permit w,IF`authori a the permit hairier to Wild the subject structure
kYiitdt rs in ro:sfi+tt itnth any appiirabte Hoc»e:Owners Rssbcration rure5;byla4vs er ind toveaantsrthat n►ay restrstt or prchibksuch
structure:Please c°t►suit vvtth yottr`Home Owners kssac+atian•and review your..deed for rwhI! W.4,P
tons#cleratsoi of the.granting of:this requested permit,:116 hereby agree:that r wiir;>ig all reespects. pet1drm t e•Work
ty Amendrrieh
in.accordai tce;with the`approyed plans,t*Florida Building Codes and:k Luae Counts,
The f°iiowtng building•permit.appli'catrbns ace exet,tpf-from undergoing:a hill:eoncurrentq review:ro!DMt addw.ons,
acs sorystruttw;e mrr►►r+g pots;fences,waits,. and and accessor-Uses ioanoth nttn�eSiti stl2l-use
1311 RN106*6 0-WNER:Your failure to.Reicord a Notke of Cttinmencement may rel;ult m yes r!)%Vft twf a far
Irf"OeMtnts tk your prx�perty A N tit a of tomrriencement must be recorded: s3�3 pt sta'i on ttte jobsite:
before tote first ltispedi�oct.I you intend tt3 obtainfriarfcit�g;corssutt v�rlth;Kendel tiI'an. ttvrl>ey:hefore'
cbmmen rt viro rk�arrkord(n .. our lotite of.Ca nmencerneltt
12/1�/
fore bf t)ym entl'Lessee S' Helot >45e Hr?idet
TAU. 1E kbJ.RIDA OF FLORIDA
The forgoing trument.was adrirovoiedged:before me The forgoing.!. meni:vaas acknowledged before me
ti►is 20 by Phis; day of ti 'Isy
T"-
Name of` !edging) (flame of per oh a'knowiedong).
I (S�gn ie of Not2( 5tate.o.f Fiorlda) (Signature of Natary.P iic'state of 1 iddda)
P.wsonefiv*flown'. OR Produced Identification PersonaBj+t{nown x. OR"Produced h*ntifitation;
"Type.of.lderitifiration Pr6d6ce.d . l.� Type of Identification Prbduceil
�a� MICHAEL RAAZ �4`P:`:P:;B�•o �WAEL RAAZ
Commission No. * * &MMISSION#FF 904140 Commission�°' MISSION#FF 904140
s, EXPIRES:July 28,2019 N EXPIRES:July 28.2019
0
Reviser!07-45/2014
REVIEWS FRONT :ZO NING SOOERVISOR PLANS VEGE"TAWN° SEA11URT 1. MANGROVE
COU'OiTER REVIEW Arview REVIEW REVIEW REM REVIEW
DATE
� CtJ[iriPIETE. .
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