HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll Ai}pL ICAgLi IALFO M U:�7 BE C(YMPtM:D FOR APPLICATION TO SE ACCEPTED
Jute: 9�7- 021
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- Building Permit Application
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Phone: (772) 462 -1551 Fax: W2) 2-LS78 UDG Funding_
[—PERMIT APPLICATION FOR: REROOF
POSED I MP RQVF- IENT LOCATION:
AddrEss; 6539 5 rfialld
prop" TV ID 0, 341 ❑-50. 0 t 7'9-� Lit Nrz_,
site Plar1 Barns! IiLkxk Nu.
Fr*ct Nam
DETAILED DESCRI P-nON OF WORK
INSTALI- PEEL & NICK UNDER -NT F1.25EM
I NSTALL mDGEVENT NOA NO, I R-1217-03
New Electrical twister seamd Electrical Meter jAfFfd1Vlt regUMd'M
CONSTRUMON i N FORMATIO
A0 dmonal work [Q 4e perforrnle'J under tl�Lit pe rmit - check EkII that apPlY:
Mecha nk.41 _ Gas Tenk , Cz,6s Plplrkg _ MkKtars _ +nd +4sf boors _ pond
E lertnc: T Plumbing _ 5,prinkJers _ Generator X Roof 6112 pixc+
TcAal Sq. Ft oll Car Klion- 1m Sq- Et. Df FWjt F1wr: 1 36
FT
C" of �h51FLttiW- S 6975 (J[I1I1les' _ Sr@WeF _ 5"LiC Building HeightE
OVEN ERAFSSEE:
HAS Md P "P "K -
Jr4dCrreSs:5M9 St"Teffield C1!
FORT PIERCE
Zap Ude; :38a Fax:
Phone No. _ — �-
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Vil In tE,e sJ m& !Fjtle NnldEr on next page lit OfrrEflt
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AdC1rew-1-973 LE a _ L� SrtI E
may; PO T L GI E 5; ate= FL
Zip Code-. 341? r Fax-
Mone No. -3 5
k-Wkall SHI )RF JNERQ0FI N YAt1Q+O.00M
RAPT *& Ownir Ind aba ) I Sty or County License
IF wWuE Pf QWrtkTFUCW B 2 00 W more: a MCORDED NotWq of CornrWnWrs. M Fs re•qul W,
1t YMue of HAVC Uk S7,5W or more. a F ECORDE13 NO Lce of CamrnencermM is rtgU Ired.
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SUPPLEMENTAL cONSTIRUMON LIEN LAW INFORMATION:
D I ;WE N�IhIEER: N-ok ApgMif�lbh- MGRTG GE COMPANY: � Not APD[I«bLe
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Address: Address: _ —State:
state=ktY:
� Zip; �_ Phone
FEE $1MPL.E 1TILE H0LaEH- _ N.[Ai AppMieabje OWDING CIDWANY, Not Applicable
N ME, Name;
Address- Addrew
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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
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