HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BF. COMPLETEID FOR A-PPUCATION TO BE ACCEPTED
Date. 7114J202-1
Permit Number,
ADEFERErpo�
�3u�Ic�in Peri.r�t Appi[CF-Alft-td1c�r�
Plan nin and D evefown Services.
u an. d CodeReg v la Division
ierce f-L 34.982
2300 Virginia Av--aryue Fonr", A' EWA
a
P `one74, -odent*al
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Address-& 601 y
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PAI..M GROV" SID BLK E LOT 1, 9 (0-15 AC) (OR 1753mol48: 33715sw2536) Description-v
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:341- 0�50MI:S&Moo&=rj
Propey Tay... ID Lot N o-.
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:Setbacks FrczeBack,: ffig�t Slade:
40GAL ��.���`� R.IC WATER..�iEATEl� REPLACEMENT
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as Piping
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Total Ft o'• Con struct..-ion
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Name PlIt"tua Newtm
AW
Address:,','601 Ponytail o.,e
Y #�FL
cis State
Zip
� 34982 Fax.
Phone No.. 401 m&829=0584
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Fill in- fee sknp Title Holder ongee (sf dfff ere
from the Ownen,-r lister# above]
If value of
Septic Butflaing �leighl':; ._
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Name: DtMITRE BOBEV
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CoMpany
FLORID -A DELTA MECHANICAL
Aress 8402 LAUREL FAIR CIR SUITE 111
C.lWty* TA-MPA
9 -State4 FL
AL--& ro %
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33610 866
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Phone No. 866-m219-mG880
-Mat�: FLPERi4rti TSaELTAAAECHAAilCAL_CQM
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State or County Licen..seCfiG1425917 �
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J or more, a RECORDED NanCommencementce ofCommencement is requiied-...�
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C'sty I TAMPA St a
zip: Phone.
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Name%
Address...,
City:
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z 11 # Phone -II
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ob Ication i o o 1:g ai!' ----nd `nstalla-Uort as indita
OWNEIXI C-0-NT T R AFFIDVFT"' AppIr s hereby made ork
I kcerthatno work ori.nstaflat'lon has comet n� d pHor tothe:issuance:kpermit..
St.. Lud"e Countv I
ermit, holdpr to'bul"Id- the suNed: s--�,,Lructure
e -� No� ;wh' h rk n i.th nv 1 biH m�- 0w e Assoda-,[Jon may h� such
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structure. as on + �� n your t-iomew uwnerSASSOC!1- l nrevieviv your anyrests�,,ions may � • ���
n cons � n te gf-a_t'l hisrequestec-
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DES1G':NER/ENG1NEER.w Not ApplicableMORTGAGE COMPANY* Not A. p 1"cable
NaInNle:, Pat�idmNewton
I Powtail Ln
Citydp FT�L PiERCE
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FLE SIMPLE T'I"I"I�.t, HOLDER:,,
t Not,
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Name..---
!AAd d re!;s 3402 LA- UREL FAIR C! R SUITE 111
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r none.
Al PI COMP
BONDIM.U. A N-YIE
M hereb hawill n all rep - •gymtne work , 62sox, r
n accord ..•� . � ` theO i and. Codes anAmendrnetnAI
Thefollowing�permit����"d't tv
fromu .� reviEewpL room :tons
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W.ARNING li-F-Ou 010-urflj' %,A. i c e of Co r vmte,-- e n c 7 e nvt m a ly, re Is u " t
faflure to Record a Not i in v
,,,, our payingr twice for
-ertv-.4!r,qp-,rrovemII;ents tom. A Not*tce , Commencement mustany Dosted on the
before -'E'h
commerY(
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rid t ob-`Cal'onfinancing, cons with lender or an attorney be�ftn..,r
ice of Commencement,,
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R SIgnature Owner/ Lessek, Co rc o` as AgentOwner
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OF Fl..ORIDA
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Jament Niamper-soni statement
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Dene-onally Known X OR Produced IdentiflicPkati e so n a lvtC vnown OR Produced Identificat'
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EXPfRES:k June 2022
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PLANS VEG ETA ON SEA TU Vi LNIANGROVE
REVIEW REVIEW REVIEW REVIDA!
DAT c
R E C IEEE I V E
DA E
0 PL E7E DLM2�=2
Reve.. 812/17.9
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