HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONN1 APPUCABLE INFO MUST Esl: COMPL FTED FOk APPLICATION TO BE ACCEP'FEV
6-25-i
Perm a N urr.her-
�� LL•! C LL Y
-,III-
I: L Ll M1. Building Permit Application
PIP NaM9 13nd 9creroPMr E n I 54F iG*4
0wiWkq wrO Code RNi,Wan INveg&n Cam r erd al _ � ��' S'4��'tiil a l
23W VOff& o AMemre, fort Pierct R 3kgW
Phone! (71721 462 1559 iFax:1772p 462-IS78 CBDG Funding.
PERMIT APPLICATION FOR'. RERCDF
PRDPDSE D I IdMPRDVE MENT LOCATI ON _
Address- 1100 HARTIVMAN RO FT Plr=RCE
PrpperW Tax I a #- , 17- 2-00 1-000_ LJL No.
Stw Plan Nwrtu_ Block No ,T
pFoject blame:
ETAILED DESCR I PTION D F W 0 fil(
INSTALL PEAL & STICK LINDEC RLAYM rENT FL-2569
INSTALL 5 HINGLE FL 18355 1 t 45TALL R LDGFVENT NOA NOL 1 J-1 1 T.03
New Elfforl"l MetigR 5etdlid EieCkrWaE Meter _ {Affidavit required)
� �or���L��r1�� INFOR�IIATIDf��
Mdhtfanal work to be !p12rfarMffd ondeF this permit— 0%12d� aIil; hat apply.
—jaegbanical _ Gas Tank --Gas Piping : :$ttiutters _ W"dndcwsf I3cwrs _ Pond
Flumbirig ! Sprrinklers Gerwrvtor Roof 4M 2 ftmrh
>rvtal 5q. R .01 C4+MStF-utU��' 3900 Sq, Ft. eat First Flow-3900 Cost of CorksuvOlon; S J 5 UTOLjbes: _;ewer ,,Wpiis gullding, Height R5 FT
DI+ NERf LESSEE -
Ham ruur rni a iar r i uyai+ L_L_�
Address- 75D9 Citrus AVE
6ty FOB Stag
1IP Code! 34947—
Phane No. E-
Mail:
R1 In fee simple TRIG Holde.r wn next -page IIf diffemit
ibrnrn the Crwnk!F I sped above)
CONTRA O FR
P4ame: RCLAN D VWLEY --
Compa,ny _ _M40RELINE ROCIENG
Address: 1471 qW r;i FWDAl r gMFFT
Otyr: POST S7 LU CIE State
Zip -Code Fax
Phone -No 777•200-956 5 _
t-Marl qti ELINEROOFINC3 YAHOC).COh+I.—
Mate OF C*unty LIC-ertse CCCI 331170
if vRlua ol come truttial l IS 250IJ OF rWhOrWr } RFEDRDED Notice of Ci-r—ro—pit Iy "ul*u.
0 yo Iun 01 14AV£ i� $7,540 aF nwre, ;p pFCORDED Nettle of GDrnmen c4 mont is regwired.
5IJ P MMENTAL CON MUCIION LI EN LAW 1 NFORMATION: —
DESIGNERANrNINEEIt: _ Nart ApRll r 0e I ffr,4&f MPAPAW: _ Kat ApRlfcak
lye a Name.
rrq _
AddmNs:
Zip= Phone
KE SIMPLETtlU HOLDER:
Name
Address.
Gitp,-
ZI� �hrle•
Address;
CGty-
ZIP- — P pqe-
= foot Applleahle I BONDING COMPANY: Not Appikabk
Name:
Addra=
City-
zrp-Rhone!
OW14ENI CDNMCMR AFFID 7. Application is hereby made to obtain a permEt to din the warx am Installarion a r, indiratnd.
I crrr.Ikr chat no work or Installation h,$ caTirnentead prier to the Issua+kce ar a pmr*L.
W �L[i# Caent3r makes no { 9i4nta1+4n Tina? as ►ar,Ur a Permit ,y(I aumoal�r the pef'rnit nolder w hulFd the subier si ryriurr
hlch c6&M�a W& a applicable +1ameowners �5�s�iAkj�8n �Ie hyiews OF arrd rv44na�rt� thRt rri" rt Eriec 6r prohiDit Iuch
Arueture. Nease consult with your Ra-emwners ALWOatian and re n rW Your derd fat any regui ions which may apply.
In wnMderatlon or the lEra ono pr rhra rMuesiea pE{rri Is. I d-D herrby agrme that I *I3I, In all respects, perform the work
In a"rmdpive with line approved plans, the Fkwida 6uildiq Codes and k Lucie r:.mf" A vents.
'rhe following hublding perrhir apprkations are enarnpt h-Qm Liad"61- ng a lull concurFew-v Twiww fadtn 2bddit,vLrL,
MXeSSW itrKDAras, Mimmin6 Podfs, re'r•trs, wa1lr4 SIPnFFy4ydzn moms and acceix*N uses to altiP'th4r nom-ra6dantlai UYm
WARNING TO OWNER, Your fallu" to Rmmrd it IYr Tim of CorpmenwmerA erratic rnsuk IFN por4 twice fi4r
I rrlprawemerym to your pr-opertw_ A M06ce of Cornmemernont must be retarded in the puhl Ic racards of St.
Lucy County 441d pasted on the job!5 to befpre the Ilrst inspecl� an, If Yap intortid to rbtaln financing, co-nwkt
41� L lerLdergr an attorney before f�ornmemeing work ar mcord ing Lrr' N¢tlae of [orrlmemament
%ffn;rtijr- ai QWnerl Li! LweInriva .wrik6 envfcw D*P&r
STATE OF PL0ItIDCOUNTY OF
Swwl,tD I-orafFlr d] and pub%trFb d Mfa�e me � PhyW1 Presence or _ Online PbD'wMdln
. i"Ii���datirof�_' `- ticI , zoo by
Mama ok person mahmm ltskeffkwi;
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hnrran21hy Krldwri _ OR Prodvpk IdvnfiRrAtion _ —
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IRIFVIEyis PRONT ZON INCi SUPERVISOR PLANS I WF ETATIW4 SEA TURTLE
UNTE R R EVI EW RBI EW REVIEW REVIM REVIEW
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MAMa14OVE
REVIEW