HomeMy WebLinkAboutBuilding Permit Application A!L APPU IE 114FO i6iitl5F'BE+L fMF#E1 t3 FI R A t1CAriON 7C1;1 E ti T 4.
Date;: Permit Number:
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Bui diqg Permit Appl ton
Pt wing ar.d.DOYeIapmenr,5#r*es
Biiildit►g_attd�ode.Re}t�ffrrFrin Davis#on
Z3t3D V>grnra Ai+nue;ft7tt Pitt[e:1�L34982
Phone:(rt2)4t!25S3 Fax:.(7?2j 462-1578 Commisrci�l i�eSiden#'sal:.x
MOMIT APPLICATION FOR:. Renovation
NO
Address:��J�O �J�'
,tegalDesa tiption: -sVa( &' G`t. �- � ,bYV'1\1r1X,1J1.inn
PfdpertyTaxlf)*.LA'5I-LeOZ—o\ U 000 tc�teta:
Slte Plai3 Meine:. S i#icrck t3o: _
Project Narne:
Setbacks Front: Back; Right.Side: 1:eft Side:
, 1c+1.0 CC'..VJS.TGr�S pk%^ V.,hi— 6AE'C{' `Ml;ST2r arcs
�nSC��` lnew F1t�o�r`� �S�rv1 `v.sc�� uJwrt v�ecc3'3",CG.1o5, '[TS,Up1•••,-r.vn,•��
�1-ec.-�Ca.l "�t-•r l�. � rreS-t �Ccr�dZ.v
onw, rmed u er {s permit"c e a aPp
HVACGaslaoli; GasPipr(ig _Shutters: {.tNirdzioiivi3ltais.
l—i:.
Electric Ri Piumb'sng �Sprin'Wets EI G.enerator Rove
Totaf Sq.i t ofersnstrtictk�na. . _ . Ft:df First Floor:
Cost•of. onStrisct on:.$ coo Utilities: Sewer.0%ptlt, Building Heigh .,,;,._:____r
♦ .'`ab� "K F,fr:'r.. �*'xy..:, az r=^.r= sc'., +ix .-{ amr1�d1 QL�ddY1[1S Matire:
Justin Tagil
A ldrms:Mo 0 o(�Q�''r Sir IMP _ Company..tsiana wt ct g Kati, �--
C► =�. c'�L15�1+8�i�_ State:FL Address: 10 8�5 S lS C�Gr�. i--)r
Zip..Cade:�jlOV Fax
.City:
Ira}one too- l - l'1Cl SVCZip Coder Fax:
E Mail: Phone;No.(7 j�7_&8 .
Fiit in:fee Al Mpl$T.We Holder on,nektpage{,if different. E Atiaii::jdiietyikbi n ,c i»
fmm°the Owner-fisted afore) State.or CfWnty License* C13 t tl8'
ii yaldt;bf ran ct3pn: $ ;+u ,a Rt�RDED N66&'Of Commencement-Is teo*
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Ndt Apiplic!M ljjAoj TG1l t-IjlViP ,_IVa �tpptit bfe' y
Nrriie; {Name:
Adresss
Address,
SLY= States City; State:
Phoi;e: ZiP: Phdrte:
i~E£:bi {PI ';1TC HOMER. Pp
Not:A Itcable l30NDifi1G OMRANlt _ _ ri3ot:Applicable
'Name,
Address: Adcii+ess_
City.. - City:
.. Phone. dip: Phone.
1 c^er .that no Krork or instail,tip,has tommericed prior to-the issuance of a permit.
:"u
ie CoWich Is to sst'ture.Please t onsnit urttty your Horne t3wners Assac+attari.and review your.deed for any restria ti+Qrts:which trlay,apply:
i11 conWerauo-h of the grantipg of this requested permit i dd.hereby:agree ihat i wilt,in;all rd., + Pe the work
Iar:accordanoer�iith"the apprtsued plans,the:Fi+anita Balltitng CStles and St Lc,cie County Asnentiingn <
The ft1lowirig bu+Iding perolt appticattbns-are.:e)iimp�from unclergoing:a lull concurrenty review:rvom;addw S,
accecsorystructurem , _ thQ tti2fuse
_ gc tQttye
11ilARNt111G OWNER:Y gyre to Record a Noot 0,otz Commencement r uFt in yc sr�,ayi twee for
proveti+�nts ta,your pe' V.A Notfte,o>`t:ommntrit must be recorded end poked am the l�absite.
be tare tfie first ins110n..Ifi u intense ts3 obtain,fI ancing;'consult with' er t r an aft me'.
.befdie'
mn cin vita r:rk+yrd : .otir NdticL=d Commeraceiiient.
AV
attar of
C' A�E:tJ6O Ow neIAgerit' . 4f C r/L iei-
SOELOWDA ST E fWR DA
Flu".. -to. OF
The forgoing histrument.was adinowledged,before me The forgoing.risi" ment;was ai*nb vtedged -owl
this�day:of �. Y --�y
t
l.f`aA1 t.l /1 P Ot.Ail CS auger. y
(Nattfe of person:admowledgin - :(.Haute p 1 person a knawledgittg).
y�
Sr� 'gnature ci#N c ..a Ftorrda{ (81goifire of td' ry.P c: a o#.Ftar€cia
ItBrsartaily tt OR PKodticed Identihcation�l/ Persanalty known X• OR Frvduced'identification
Typeof.(rlentifli #iWt Produced. . Type of ider►tificatrnn Prodlu Y N
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Y P MISSION#FF 904140
Cdyrin ssion No. ,��95`•.�h L AAAZ Commission No. a..• *
'•• •; MY 00 MISSI N#FF 904140 `^—ram ES:July 28,2019
* EXPIRES:July 28,2019 _Zc ,dR BMW Thru Budget Nobry Servka
Bonded Tbru Budget Notary Serves _ -
Revised 0il1'5/2,0,14
REVIEWS* FRONT 'ZONING SUPERVISOR PLANS VEGEIATPN! St3ATUIME MANGROVE
cow nix kEvtEw 'REVIEW REVIEW: REVIEW REVTIEw__ RVIEW
DATE
�CIMPLETE: .... 1, `�-
- 1fi117'IALS '^