HomeMy WebLinkAboutO'BrienPermitApp1Al! APPLI CABLE INFO MUST BE COMPLETED FOR APPUCAII ONTO BE ACCEFTEII
Did t3:
Pp. rmiL NJ.rib.2':
Building Permit Application
F,Vnrwv and +o c 5 rirhrrs
B+ fi�Eff g and Ccde Repub orp Dvrsion Commercial Residential
.29COvirp; nra Avenue, fautP4rrr FL 34992
Phorpe: (772) 462-1553 Fax: (772) 462-1571�
PERMIT APPLICATION FOR'. paw-'
CACI
PROPOSED I M P ROVEM ENT LOCATION:
Address:
Property Tax 1 [)#=
Site Plan rga me,
Project Nta m L.= —
Aft
. 70-0r0-boo -
Ln[LED DESCRIPTION DFWGRf ,'
X
Lot Nu. 10
Block No, I
L
New Eintri r,ai Meter SPcortid Electrical Meter
CONSTRUCIF1 ON I N FO R N11 T [ON'
Additliilial work to b-2 pm2rf-orrnc-d underthls pemnit—rFie�ck all that apply_
Mvri]drf1Ca I Day Tail K alas Piping _ Sluii crs
Electric _ PI u mbi rqF _ Sprinklers _ GerHerator
Tolal Sq _ Ft of -Construction,
CDst of Corrstruct�ion, $
O E € [L-ESSEE'.
_ VV1nd4Wz,Jrttx.rr1 — r'oild
Roof Fitch
5p_ Ft- of First door.
Uxiliries= _ Sewe-r _ SeptIc Riding Height:
COUTPACTOR,
Na rrke g026 .% -TF o `germs
Address: .r Corrtpar��+;��
r-it,+_f wtat= ^'fir Address=C
Zip Code- Fax: City: Vtr�t- S+. �4t_ Siam
Phone No, Zip Code: 3":tR pax: - —
F hrfai1= r- � Phone No ; { 1-
R11 in fee simple Title Holder gc ( if d iffe rent E-Mail L fW . . ':�
Frum the own e r listed above) state ar County Lirerue C J '3f
ff ilu a of construrtlon Is LSW or more, a RECORDED NoiiC4 *f C;ervnememurt Is requlre+d.
9 value -of HAVC i5 �7,SGG or more, a FEE -CORDED Notice of Cormnence:ment r!5 r"uh'md_
I