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ALE. APPLtCA-8-LE I.-NFO MUST BE COMPLL�EDFOR APPUCATtON TO BIE ACCEPTED
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Date 6/23/2021
Plannt'ng and Development Servak-,-es
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Building ffr�d Cody
2300 Virgin. i' Avenue, Fort Pierce FL 34982
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Phone: (7721462-1%5153 FC1
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PERMIT APPLICA- I [ON FOR*m Plumbing
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Legal Description.* a��ANIQllE G�EANFRU1 "M� AL 2752-IF3�2} ULa� A l9N#T ��� k�� :���-2�48, 3727-1254)
Propertv Tax ID #W: 1-423-*506-0017w-000-7 Lot No.
Site Playa Name: Biock No.
ProjectName- George R Zerdian
Setbacks Front..K.- Back: Right Side: Left S I' e:
50GA-L ELECTRIC,- VVATER HEATED? REPLArEMENT
....JHVAC
Electr'ic
as Tank
Total Sq., Ft of Con,,struct*ion..
Cyst of Co n s7l:VW rU�:.�a0t�: � 1529
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ZIP Code. 11- a X
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Na e: DIMITRE BOBEV
Com�aany� FLORIFLORIDA DELTA MECHANICAL
Aadres-siff 84-02 LA.U.R�� FAlR Pm%'R SUIT�
C.y7�. TAMPA FL
Zak k.;..,c--de-. 33610 �xa 866=219m,072
Pho:n,e No. 866w-219-0880
E-Mal.�: FLPER.M.1-TSO-DE:LTAME-CHAN [CAi _COI�
Stake or County�r�L���e: �`�1�t��9'!7
if value of constructon is $2500 or more, a RECORDED Notice of encement fs required.
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FEE SIMPLE T1 HOLDER. NotAppy!cab'
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Name.: Name..
A -�J LAUREL FAI R C1 R SU ITE 111Address..
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Citypir.
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onit-E'o 0-J-WNE-R/yak hereby �s obtainpert . do �K ework and ' n ' Hat ioT �ras indi-cate d
I certify that no we{ k st,• Matto • has commenced prior to the issuance �f a
st-. Luc'ie m akes no representat'on that is granting a pw 11 authorize the pel-mft holder tbmid the subject structure
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which i's in -C-..on 3,ct As-stociatU*oon � � � �� � L m � `� I t O rod 'Lb"l-t
e. Please consult �� •� ou H w* � �; r t j Ct
Y whicip-, apply.
In const'deratt"on of the g,rantIM9 thfs permift6c,
qhereby Z- g ,yam 1� � � ' �}� r - � a�}•ti �'y . the
work
i � w
��'rx" -x a (7n- cipl; AnA C 0 1 t irh:- im i ntv A mimnA m;:nt-<-
"� the �� '
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�� `�com.-ul-rrr.ency, w � bu id p are exec r �' �� -r-f4 i npoois:R s� scream f r nn and s � � ~sury S� � � 1*e� dent use
WARNING TOWNER.: Your fal"Jure toReccrd a i�€�t �� oi �m ence e�ii �y �esut� ira your payers hmlcfl� fc�;
p�oveents to your property. A Notice of �
ommencemerA musI.- be recorded and on the
betore the f-irst 4i€i5peCtL3 n. If you lt"itend t*;oob-4zal'n flinow--bril'IQP
commencine-Aftri
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STA�`E OF FLORIDA
COUNTY OF
The forgoing
i
a:�y
------ 1WW4%q;kM
%e Aeq-��� for
ument was acknowledge -id before me
t person Fement.
Name o' M -,,".ng stat
Personally Kno�,-:vOR Pimduceal,- 4 dfjton
y p e of I d e n t1- ff c a I.- fo n
Produced
x,ocsr Q.,
t�>ignature of Note/fi Publ.`c- State oir"' --r.:-?ort3c d
�C,imm1SSlGn No,.
ng
consu E Afth
1 -der
k s
signa-ru, e of
i STATE OF FLORIDA
C 0
UNTY OF
o roj r , n St U'nt waS.
this day of JrLC,
Jobsite
an attornev before
0
41
b q
k owl a beToreel
Name of person making statement
olOR =�den cationy Knows
Type kienuncation
P 1 o 6 u e d
VW,
(.-105ignatu.re, No-faqf Pubfic- StateF13011'da
F
MANGROVE
Revs 8/2117;
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