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ZZIUU Vffg-MW AVenue..,, ix�ott Pierce FL 34982
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Legal Desc-r�,�-invt5€i. �� 3�'�� 1J2 OF �<��s �l-; �,�'-� 5� 1#� flF N� i!4 OF NW ilk-i..ESSS 9ii FT_ (1.16,+�C) CDR 1874-495 : 1939--.2.357; 3560-2352)
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Property Tax I #
bite Plan Narne, - -
Prpj'ectNae. TimoYthT Kelfift^her ._....._
Setbacks Front B k:w Right Side.: .eft 51"de-A.,
40GAL GA-S'iNATE-R HEA'TER REPLACEMENT
Electric
as Tank !
as Piping
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Construction.
1992
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Cost Of Construction
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Name Tinroothy Kerdqa�jFte-r
502-4Tree Trj
Address...
ERC
citylzE
Zf" Code:-' 3495�
Fa x. Pe
Phone NoS 772-205-963
7
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dill in fey simpiel"if!-c=21 h[old-er on. next prime �i c if fere n-t
r froM--e Gdmwner listed above}
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Block No.
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Name: DIMI E BOBEV
Como-aY: FLORIDA DELTA hiECHANICAL .J
Address,�4�`� LAUREL FAIR C,3R SUITE I I I
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ty
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zl,wp code.: 33610 Faxe 8-6&21 M72E--,i
Phone iftilo., 866,m2lM880
E-Ma-la FLPERMI DDELTAMECHANI C-A L-CO. Mi-
or CouniyV,
ff value -of tonsltrucbon 1*S $2W.. or more, a REWRDED ice of --mum
Com. enceme mm'
AA
is requires.
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OWNER/ CONTRACTOR AFFIDVIT,,, APP I
Hcati
I certify that, nowork or insta
�4r�# Aa�srst€ra4stct
to obia�n a eF it.to €�e the �vcark a a insta [Iat."Ji
flafl-on has commedn-cea pirtor to shy issuance oF,�perml-t..,,
on i"S hereby made
o�'? eta In f�1Ce�tet�.
St4 Ltu
6e Coun
makes no representation t1hr-at is granung a perm-11
2; 't wfl! a ut�iorlze the ermit hoider to bu'fld';,.-'Nz. sub""ect structure
which is �`h co,PleaSe consuft �stru c,.Lu re.,f ��S`Sa��80.d.E� � � Owners Assoc,-tk:i� ��� � � ��� bylzA ��V 9 �i i �li '1�s aaLi 'x � that i�i3y i ��W��i�Le OrsT IF
3.' P� 4rnim
t such i tfict with 4241y
your Home owne
Ass
�...
,_-,.. �., .�:vna and re view your
dcc%a f�>.. .,._? fit . �3if €4i8i7i7J which may appli�.
car of zne grancing c�Ftha5 F uestef ;�rmit,'s
irda rz.ce �h V.
The following bwidiprngt
accessom-!-y structures
#
ree that.. I w:"11, *7n a'1 re-o- rform the work
p;-- c t SA p e:
t. 1..ucie County Amendmen-ts.,
'tions,
11catic.n...s.: are. exempt from undergo!ng a full concurrency rev' :bl
app 'Iew* rocir.. addi
cw-
AW - wai
., imming pools, rences C
Ilwpp
sqns, screen rooms nd accessory usesz to, anotne7L iderttlaf use
WAR'lLmlING TO OWNER:.
a pfansthe Plorida Buildis�
do hereby ag
g Ccstfes and S
y�°e�n� pav�nv
Your
falalure
to Recara
eallot*1G� ti� �Li#tl�I'�E��1f.PY7f#si"i!' �'!�:# ����x�!' [ss lcas�;,•� f2
Impriovements to yourprop4zrty,Not*ce i ��mn.,-'i-encementmust oe recordedand o �on the
before the ��r�is�,*�� � intend ��fi��ire fira�nc,inronsuwith len..forana,+tome,.
C��'it�f'i'��l�'I
bre
P-•-.•ma. rw.�sd�:.xx as aromza s3 sera ..a sa a�e3�:
W �C or re ordw �PU
�x
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P,
yI'M Agew n e r
pSTATE -Ijjw*'F F11,0RIDA,
L OF
The forgoing,Ensq*L-.r,�,i.-
mi=,nt }
tht's,Y�0`9 d-'Jw'
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_n
2
tiY aT�L�I! y
00�
y
aN amf=fpe-i-son making statenment
PerSonallyKnown
ORProduced ntifica ton
Type of Identiffication
I I k oduced
e �K� ti�N ��Y!'1 �'SYLi IHiOl1 �■■i/ __—.__��������9��t}R�•i�i���
I:ST* n' Nolm
g
1"Ommisslon No.
Rev.. 3 '2` `17
N
ST
nature of
OF FLORIDA
OF
COUNTY
R
sp Hoilder
betc!Fre
Jd�
Thie 'instrument was
M
2,
&wtQ
th-is day or
r Name pe_ _ ., y, statement-ng
erz-oria y Known
OR Produced Identirficatloak
Type of
Producect
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A
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