HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLWMLF INFO MUST ekk COMPLk7ED F0111 APPOCATLON 10 BE AECEP1ED
Diat ; 9-7-2021
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I. ,_ Q _ z - Building Permit Applicatioll
Pfannfno aria G.PPWrir 5MILrs
�Ijangr+p and Cotfe 191V00rron ,QMSs Om CommIry Fri �9 Fk si��ntL� I — �
230a wmin0a Am ue, FV[ XrraE 01 NW
Phone; (M) 462-1553 Pax= M31462-15n �� Funding _
PERMIT APPUCATION FOR: REROOF
LPR POSED 1MPROV16MENT LOCATION:
AadrM: SulnRnE<
ProperLY law 10 #; 711 y I1 r<n� rr i i�15�5fM�1� - fat �°
SIle Plan NiIMC- BIoCk No,
PrDjFd NPFFm=
D TAI LED IF EK Rfi}T16I OF WORK:
REMOVE SI-I1kdE_ F_()QF
INSTALL YMEN7 FL25bg
INSTALL RI DG ENT NCIA KO. 1
New Electr;CJ I Meter — 5.jwnd Elemk ill IArster. _ [Aff idilVit required)
CO NSTR U C71ON INFORMATi ON: � J
Addlilipmr4 %ork to be pedOrvmd Lw&t i'hla permit — check all that mvPty'
_Medionlral , Gas T§nk _ ails Piwg — shutters — 4+��hdaws,�Dn�4� — Pond
_ fleubdic — PlumbIT10 _ 5prrntims _ Gant mtjDr Fool 512 Pitch
fatal 5;q iP! of Con strUC#Wn= 1462 _ s4. Ft. of First Floor: 1462
FT
Cos: of Cimstrualon. 5 75 Lm1*p_S_ , Sewer _ yAptkC &ui4d i� NiyiOt: S
OWN ER/LESSEE: co T crow
Nblame; ROLA D Ii_E
iame Vemn" M Grace.
Address: 5S37 Summerfield CT rTYp w, t�Cl I hlF Rf7f f� I#;II� _
CRT KERCE toJF
L Addnns' SUS OLD_ DALE T-BEET --
7;p Cate: Uo� Fa,s. City:F�
Phone No f- T3P tee- 2A9a7 Fax:
M;11L' Phone N-0 772-2509 5
FIII In Fee!jjmpte Title NcIdffir an neat p ofe IM d6fFOFMtd E-m aIL 91i0REUNEIZO)F I NQ49YAHC�,� 1
from the owner listed bbmej State qr CountSr License
If W&m gf ponstrijctlafi Is Ism nr inert, •M RECORIDED Fiotku of Comm A[ermnt Is requhred,
NvdLrnF kiAYC 11$7,300 aF Krdre,, a MORDED Notlfa V Comrl enmmem, is required-
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$20ry+srru=wwL. swln►mGnig aaN}, ipnc■p, walls, a40nFF:cAwli morns.2nd a€.ceroryr U*utn prnpffirr Ow-Fwodwnlai urrt
FOr
WARNING TO KER: Yourf�ll�r� A � ��¢ �mm�idm of n went rr��st be t my �Med irMuft In=p�b rgCnrds of 5t.
im prorem�nts to Your properCy-
Lude CvLkn[Y and post-ed on t o- jobs b0ore the first inspectiM- If you prgend to -obtain finarndng, eorr �1t
F� lartilrr rl ano v before grnrrrendnf Work or -recording vw r Had ee of )mmencem ant.
Of Owners k*kwe jCvntrwd,3r A 11enM of der
STATE Cif= FLORIDA —47 LAC
9,�r 101 �It jar rlgd a�b sscribed b,e r Phy tical frtsencg ur _ a+hne Natar� minn
t � OaY of It,
reams Nf person mnln%
PereoniwIyl itrn&W" + OFL Produced IdekTiFIeatlon
rt-ypr j;!f Ldentff`IwG0&j Produced
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(5Agna#uribof Hatar�pwAt.-9tat.e Of
6NARDY M00RF
t.al vy. Pli 011�-,SteSit ;Floriclp
3= CCgmrhrapio a H t+ r16�9E
M 4 CA MMIAgUii1 �Y1VF14 i
F*�„� F42$ 05 '0
REVIEWS I FRONT I ZONING
COUNTER fSEVIEW
SOP[�Vfsoit
REVIEW
PLAM+ VEGFfATICIN I &EA TUR ILE M E