HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST OF COPAPLMD FOR ARIPUILATICW TO Ilk AMHED
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Permit N um het:
L =. Budding Permit Applications
Pfamninp and D�vp flpyrnror 5ervi[ts
pofkfiAg 2M code negakbom of,nWon com rn efC ial Re sl den t i al
23M I &girrw venerr- Fort Nurr Ft 349f12
-PhoFiLc �7771 -1$53 Fax=1F72� 462-1570 CBDG Funding
PERMI T APPLMATION FOR: RERO
CIF
PROPOSED IMPROVEMENT LOCATION' - -
Addreigg W41 Summ6111D IDT
3410-507-0170-2 LlYt No.
5.it" Plan 141me_ 0M k No. _
Project Pbrne;
DETAILED DESCR1 PTI ON O F WO RIB;
i!�EMOVE SHINGLE ROB --
INSTALL PEEL & STiCK UNa ERLAYMEN T F L25fi!�
IN EtALL RIDGE -VENT NQA NO. 1942t7.03
lietiw Electdfal Meter S rld PJEcvieal Meter— JAFfFdawit rvqulr*d�
LLD ��U CT I �ON I � �K) �R�� -1 710�-
Additions I rwof� to Ipp :uerfnr med u nder 1h is perrfl rt - -ch8cic all that i9pply:
—phechanlcal
— flertrlC
Gas Tank
Total Sq. Ft cif Construeion: 133?
Co&t of 4:oR5kruCtiDn! $
OWN E R/LESSE E;
8975
—has Piphik
— 5prink6�rs
51rutiers Wi n�jRw*/-Dua `s — Fond
nerator
5q. IDL of First Phan:
Roof 1 � P+teh
1332
Utilities; , 5awar _ Septir- Building H&49 t= $�
Name LeonardAu s
Address; 5841 SummsrRi5ld CT
City: FORT PW 5#a#e t_
rip Codes _UQ82 Fax:
Phoftie No. E
PIII Ir4 fee sImpLe Tltle Holder do ekaxt Page 1If different
CONTRACTOR:
Name; ROLAND 1V I LEY
com paimV: SkiQEEL IhtE ROOFING _ —
Address; 1971 §W GLENnALE STIRF ET _
city: PQ 13: ST WCIE Ito:e= FL
z1v Code; 3498 F44;
Phone N* 7T.2-250.9565
E-h+kall SHORELINEROOPI N"YAHOO. OM
fLrom the Owner Ilsted ikbYrt) — -- I SWe or Cuuntw Llc nse GC [' 1 t7D
It %rak,e of Lorwrmctlon Is MOD or more, ;1 RF CORDED Ncnite of UDr7um rnenl Is "Wrfd
If vAue of 14AVC is $7.500 qr rrona, a RECORDED N"Le of-cornmrn-mmem is. cequked.
SUPPLEMENTAL cONSTIRUMON LIEN LAW INFORMATION:
D I ;WE N�IhIEER: N-ok ApgMif�lbh- MGRTG GE COMPANY: � Not APD[I«bLe
NOME
Address: Address: _ —State:
state=ktY:
� Zip; �_ Phone
FEE $1MPL.E 1TILE H0LaEH- _ N.[Ai AppMieabje OWDING CIDWANY, Not Applicable
N ME, Name;
Address- Addrew
-Coo -
j zip; - Ph�r,e= I Zip'
0"ER/ CONTRACTOR AAFFIPVM. Aplpliwrlan ,s hermM roadie to rabtalri a permlT to do the work um inst0likrlon as indical.ed.
E chef' that no work err Instaljati 3 r has cwmonced prior to the Lisuime of a pern*
5t. L ie unry+ M Mrc etO reseXtlon that Is 5ra�atln%a ptrmbt wil a,rvwn3.e the p+rr�lst Frplder m tw4ld the s4t�e� stru -P
s{ tiUM e PI*ase r suite+ � F1o4rinqwwrpm Afsrpi€lal�o 4 rx�d rc,�lew �w rid restnc#ion4s whk+� m A+p � w
In aaniinderatlon of the g+enrinic grf WE aequeard vwfwait, I do h&feby aaram Maas d wlV,., hn
NA resl)e0s, AmenO p.erie>'rrn th■ w "*
In �eo trdwc4 *nh the apprv*ed plans, the Fluf-da 44lldmd Code* and 5E. Lucia Cg41+ '
TMt kolloti W%bplding permit dpMlcativns Erg et n4A undrermoing a fLill .10,cufferwy i00171 a001 oflsL
�.ciiii$20ry+srru=wwL. swln►mGnig aaN}, ipnc■p, walls, a40nFF:cAwli morns.2nd a€.ceroryr U*utn prnpffirr Ow-Fwodwnlai urrt
FOr
WARNING TO KER: Yourf�ll�r� A � ��¢ �mm�idm of n went rr��st be t my �Med irMuft In=p�b rgCnrds of 5t.
im prorem�nts to Your properCy-
Lude CvLkn[Y and post-ed on t o- jobs b0ore the first inspectiM- If you prgend to -obtain finarndng, eorr �1t
F� lartilrr rl ano v before grnrrrendnf Work or -recording vw r Had ee of )mmencem ant.
Of Owners k*kwe jCvntrwd,3r A 11enM of der
STATE Cif= FLORIDA —47 LAC
9,�r 101 �It jar rlgd a�b sscribed b,e r Phy tical frtsencg ur _ a+hne Natar� minn
t � OaY of It,
reams Nf person mnln%
PereoniwIyl itrn&W" + OFL Produced IdekTiFIeatlon
rt-ypr j;!f Ldentff`IwG0&j Produced
I
(5Agna#uribof Hatar�pwAt.-9tat.e Of
6NARDY M00RF
t.al vy. Pli 011�-,SteSit ;Floriclp
3= CCgmrhrapio a H t+ r16�9E
M 4 CA MMIAgUii1 �Y1VF14 i
F*�„� F42$ 05 '0
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