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BUILDING PERMIT APPLICATION
AIIAPPしiCABしEINFOMUSTBECOMPしETEDFORAPPしICAT10NTOBEACCEP丁ED Date二 は\LfeLa\ permitNumber: 轄弼評語計上霊二 B謝dingPermitAp匪ation 器諸芸諾誓言月 c。mme雨, Res,dent,al来 i 2300V/rginiaAven岬,FortPierceFL34982 Phone:(772)462-15与3Fax:〈772)462-1578 CBDGFunding 音 音 音 PERMITAPPLICATIONFOR: PROPO龍即MPROVEMENT戴CAT!Q贈 Add「。SS: qG2_撃、g=nAc,ふJ5e r完了c_\r pr。PertyTaxID#:332一之 ̄8GCrここ)し\-C)OCr山 LotNo,_ 」 SitePIanName: BiockNo. ProjectName: D盲TAlし巨DD冨SCR岬T[ONOFWORK: ト亘どよ-ね心)Q ∠丈 へ_‥\÷二審幸い、\h丁。「、ヰ書手 へも  ̄ ̄ l  ̄● NewElectricalMeter Se⊂OndElectricalMeter (A甜davitrequi「ed) CONSTRUCTiON冊FORMAT書ON: Additionalworktobeperformed underthispermit-Checka旧hatapplv: Mechanical GasTank GasPiping Shutters Windows/Doors Pond 羊EIectric P(umbing -Spr剛ers Generator Roof 輔ch TotaISq.Ft。fC。nStruCtion; Sq.Ft.ofFirstFIoor: costofConstruction‥;aLi∞・C⊃⇔ Ut冊es: Sewer_Septic Bu皿ngHe函t:_ OWN巨R/し呈SS荘: CON丁RACTOR: Name 二〇(,ト食, 負rううでhとで Name‥ ≦幸三2_|」ri\\..入ha Add.ess:q名・2玉 とrrl山.m r言r\_ Company: ̄軸心ゝ(人血持てとむしs Address:>r_重く∴イ「志へここ入、l乞う c時二を,γ十号卜ロメで∴_ S千言互 c母音b\⊆主査 State:王⊆ ZipCode:3しiC迫も Fax‥ PhoneNo.|「・7_一82_8-と)こ)3しf E一 zipC。de:3年C?叫< Fax‥ Ma吊 PhoneNo 「 |つ」うIiへ仁2つ3 Fil=nfeesimpIeTitleHolderonnextpage(ifdifferent E-MさiI へ し九〇〇〆,束ecくつ化相人へと  ̄ ̄l l“’事 fromtheOwne「Iistedabove) Stateo「C°冊tYしjcenseI、千とI山く二°了8⊂工圭 IfvalueofconstI.uCtionis2500ormore,aRECORDEDNoticeofCommencementisrequired, lfvaiueofHAVCis;7,5OOormore,aRECORDEDNoticeofCommencementisrequired. 音 ..ふ.∴∴二言二・、、三、言 ∴∴∴∴∴千言:∴∴∴二言 ∴∵ず∵∴:∴∴†早∴」∵.∴ ∴:∴∴∴∴:∴∴∴:∴ ∴∴∴∴∴∵∵∴;∵;∴ ∴∴∴∴∴∴∴∴:∴; 耽S書竜N輔I各N 刷N駐R: NotApp曜abIe MORTGAGECOMPANY: NotApplicable 怖○○- Name・ Address. City: Stさte: City: State: Zjp: 軸one Zip: Phone: 陣ESIMPしETITしE鵬OLDER: N。tApp=cable BOND!NGCOMPANY: NotAp坤cable N己町巳 ̄ Name; Address: Ci・ Z面 Phone: Zip: Phone: OWN輸/CONTRACTORAFFIDVIT:AppIicationisherebymadetoobtainapermittodotheworkandinst訓ationasindicated. l⊂ertifythatnowo「kor涌Sta=摘enhasce閉脚enCedpriortotheiss閥nceofapermit. 謙鰐醍龍謂髄鞘蒜盤欝鑑識鰐謹‡鵠欝 露盤畿幣豊e inconside「ationofthegrantingofthisrequestedpemitJdoherebYagreethatwi旧na旧espects,Performthework inaccordancewiththeappr。Vedp!ans,theFIoridaBuildingCodesandSt工ucieCQuntYAmendments. Thefo=owingbu紺dingpermitapp icati。nSareeXemPtf「omunde「富o高gaf刷COnCurren〔y「eView;rOOmadditions, accessoryst「uctures,SW面mingpooIs詳細ces,Wa"s,Signs,SCreenrOOmSandaccesso「yusestoano油e「non-reSidentia圧se WARNINGTOOWN駅:Yeul.faiIu「etoRecerdaN8ti。eO‡Comm削cementmayresult inpayingtwicefo「 培器謂器器滞船豊富三晶諾認諾嵩嵩嵩豊霊藍盤 withlenderoranattorneYbefore⊂OmmenCingwo「korrecordingvourNoticeofCommence crecordsofSt. an⊂面g,仁OnSult ment, ∵∴∴∴ Si昌nat号炉Owner/Les5ee/ContractorasAgentforOwner S丁A丁Eo戸冨し○ RIDA COUNWO声色長雨 寝末書的 盤酷薄鍵盤基当部eOfJ±:∴ysICalPresenceorO剛arraatlon 蛙恥lし高山重刑C せず|eOf垂rsonmak活gstatement" 羅盤嵩p「。豊鮭惹豊臨繭玉- 臆もA (iioNotaryPublie賃Stateo廿Io「ida) m面sjonNo.(SeaD REV!EWS 戸RON丁 ZOMNG SUP巨RVi50R PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW R巨VI亡W R巨V惟W 京王VI巨W R巨VI巨W REV惟W DA丁巨 RECElVED DA丁巨 COMp」と丁且D eV与/之O/Zl