HomeMy WebLinkAboutREROOF PERMIT APPLICATION - 5626 TRAVELERS WAYAl I APP LI CABLE I NF-D MU57 aE COMPLETED FCFI APPiJ CATLON TO tIE ACCEPTED
D.3[e. 10-1&2021
Pormik Number!
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- Building permit Application
&wT&ng cent? Cade Arpurolrwr 1},►u[i;on Ca rnmerCia I Re5Id en#ial
.2300 OrginAzAwnuer FPA Pru!.PC 1092
Phone; �172j 462-1553 Fax; (77z} -i�578 C B DG Fti ni ing
PER MIT APPLI TI ON FOR-. -1
REROOF __ 1
PFtop[)SED IMP ROVEMENT LOCAT10N;
Alidress,. 56M TRAVELEAS YVAY FT MERLE
Property Tax I a M ,3410 3�-3L14 7. - Lot No, F
SCE i}Ian Mlle: 9bcH* No. $
Projm name!
[DE�—AIMI D€5011F ION 4WORI _
REMQVE SHMOLE ROOF
INSTALI< PEEL & $n K UNDER L{4YMF-T P 1,2569
kN rrAl I SHING F 51 :MI-d INSTALL RIt5GEVENT NOA NO. 11�4217,03
Nmm Eh[ Ctrlca I Meter 5euvnd EIect'fCil MMer I Affidavit requvred)
CONSTRUCTION INFORMA-flOBI:
add i[hbn* oark u3 he 0rf4 m,Pd under this pe"Ll - chKk aLl that -apply-
,M ftRandea I Gas Think _ Gas Pi sing _ 5hrMCM _ W1 ndvwVl owr� _ Pons
Electric P1urnb4ng — Sprlrwe-Ts—CAMentelf FRpt3f 5112 Filth
TotaL 5q. Ft 0l Congruction_
r,ost of Construction- S
I OWN Elk/LESSEE:
1752
$0
5q, f. vf Fir -A Man 1752
UL1I111mi; _ e�lrer Sip'kiC Building "Ok9hr 15 FT
dame
address tot W L-num Henn BLVD Ste S10
city. A ulii _ J9aite. T
zip Cade; 78725 _ Fax_
Phone No, E-
Milk
R11in fee almple TMW Hal-d" an meld page 111f di fgfEM
CONTRACTOR;
Name; R LANII) WILEY
Companryr, SHARE UNE ROOFING
Address;
CiFy; PpflT ST W l SUM FL
Zip Code; 34857 Fail;
P1tione Ho 7724A0-951135
SH0REL1NE R00FjNG YAHGb-MM _
GGZ% 13311IPA
�7- the Dwner Ifsted obwft) Stair or Co, jnttir ticinse _
If yraiue of e6atstrUe1CM f$ 25M rw r! nr!, a REre)RLEG NE tree of CQMnr4,rKmment Ii MALI1F9d•
IF Yr1ue of MWE 47 S?,SM a ruore, a RECORDED Nurdce of currimewmement is requirwd•
15U PPLE I ENTAL CONSTRUCnON L9 EN LAW I N FO RMAXION ;
bESIGNERIENGINEER:
Not ApPlIcahlL'
MO-RTGAGE CGMPAW: _ Not Applicable
Name; Name: _
Address-- Adores%.
61r. 5tate: Cstyr: Stag;
Zip: Zip: Fiiar�d±: -
FEE SIMPLE TIRE HOLDER; ! Nat ApplicahFe SohIDING COMPANY: �hlot Applluai}ie
Name;
Addrew
City:Zip, Korla!
—
Na me;
I Addrkss: _
cIlly. -
7j.p; Phone:
GWN:ER/ CONTIEI,EIC'4' H AFFIDVIT: App1k41idn Is hereby rnadt kri obtsln a pmtrNr so do vie wwk and Irrsxallahoh sd indlcated-
I Eeriffy V1141 nD work of im%ilarJon Lies tarrrm-enced wivr to Lhe Issaanar 1314 i5ermit.
5t �o+r larn manes n# r�p reserFta rrn rhaC ranki a ptrrnit a�haMze Shoe permik to build t` s�bJ�rt 3krt urt
whlth Irks "iO.ar� applicable r4ameowners r�+ion rules, q�ws ar and thwtst at n111yr re tnct or pruhftT 9u
ktrL ture. Pl"Ne eo�Iski wath your Homeownium As ration and re etirr your 4 fnr arty, rn Mitri0ns Ich may apply.
in eonslderakkyft br the grar3tlnE Qr Phis requester ptrrMl% I do: rnr4ry &ghee that I will. %n all reaper rs, {storm She work
rn aa;wdame.wrth thr. approved pins, The Florida kWIkahg codes and Sc Lure coriaty Aniemdrnenm
the Follnwingbulldlna p0mll, WppllCatl4ns arrt exemprk From +ra$&Ralkiga dull cbnturren" rrriew: roam addil
a:cesrrory Skructurts. swImum rq poc4's, renEmr. yualls, Sins, sqr4an t4 brns a n 6 a=ssar9 usff tj:� ar.brher -nBy10WnIad WSe
WAFRNlNG TO OWKER: Vour failure 10 Fleeord a N04Ce Of Cum"em"mul► In paying tw6mfor
im proaements to your prpperty. A Notice of Corn menvement must 'be tOcOfded i rL t hn public rewfds 4f St.
I. utie county and posted on the Ir?bfLlte betWe the first in5pertlofl. If YGU i r+terld to 01500 fIfi ancing, CGrl.Wit
wittl Ji�rrdpr or &D wqqrney WOFL' c0mme5irl work or „erfiFdln NotJeE of Commencement. _
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SipqAtufe &I C]WMwr� f as; Aprit far ❑w- &
5TATE OF K99I0A
uff OF
544onl; jb+r llrrr of a lbed hel5are mr dr '.PhVaical Presw�# or OnGff* Notarl:aton
thr I —A� at + 2(L , hyr
%emir or person melds sratemt"#.
P4!4Lonarty 9npwn _RJR PrW-- o!d IdeMtft9Wh
I ypr of idenid4ci tl4n Pn6dL EM
i5ignaavej)F Mil-ar1' P1jhlK- Rtat Of FIGNdaf
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REVIEWS I F+iOHT ��11�
r-OUNTE R R NIFW
❑ATE
REt:FIVER _
RATE
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SUPERVISOR PLAIN6 VEWA,TPON SEA TURTLE MANGRGVE
RFrV1f- 411 RE -VIM RIEVIFN I RWFW I NPIEEW