HomeMy WebLinkAboutbuilding permitALL AFPLiCA4-SLE INFO tVlV!ST` BE COMPLETED FOR APPI IGRT#ON TQ BE ACCEw-`�aD
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* Number.*
BuildingPermit
- Ap�tic�tic�n
Planning and Developnment Services
B iw. ildr`ng and Code RegulcrtionDnr�
V
2�'/J'C3 tr'�rgi�';�aAvenu€, Fort Pr`�wcs? Fi 34,982
-Phone: j"71,2; 462-155.3 Fax 17*10"J4.2) 2-18
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PERMIT APPLIC�.T�VIOFOR.
I v�Hl�
QAn7 0 f""."r
P-lumbsing
Corr, meca
Res'ident'15al X
AaQ'Tess:
7 A
"�� f 0 R 3562-w 1183)
M DWOOD UNIT ONE LOT 25
Lega'l De - o p± : EAD.
AMR.
mp
Property Tax 1D #fh 1, 333,4-503-wO027-000=8 of tv 0
5iNlEe P'la ame,* Block No.
Pr ecerne. �:sW11118m J!
N Setbacks Front Bank, Right Side: Left Side:
ailGAL ELECTR.iL; WATER HEATER RE -PLACEMENT
as Tank
Gas P
,ping
'm
S
pplys
ters
LP:
indows'
ors
V... i:' R
EI���� LLj Plumbion�L��j sPrrnklers Generator�Rou�r I a*." -
Roof pitch
Otal., Sa4 Ft of Constiruction
amp-. =Eaj�
C:. 190
Cost cd� Constructioti 4-)
9407 Poinciana CT
Addlo:eLl_sso
HF.-, E FL
City: FT P
34951
Zip (wodet
�'�ca�e Ns�.`��32-883-C492
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F'111 'in fee s'imple Title Holder on new M-e ff different
2to
fro the -r z., e d above)
.V Ft. cf First Floor:
7
Sewer
�j Sep LIC
Bu't1d'i'ng Heightle.
Narne:,' MR
C FLORIDA DELTA MECHANICAL.
Y
0
J�-Ow I
% -
FAIR CR SUS
7;S"L
C TAMPA
-219-0729,
Zip Code.. F a- x.:0 8 6 6
6-2 9-w80
E44a, [I P R M i2�DAMCHAN I CAL COS
State o County License,. -CFC1425917
�i;
If v2lue of construction �255,0 �.�r ore, a RECO4tDEDNoiice .of r...oinn encerr�ent is required.
FEE SIMPLE TITLE HOLDER: �Noi:I Applicable I BONDIN� COMPANY.
Na
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Z A o - *&-`fZ2 LAUREL FAIR QR SUIT111 In
CIL'
Ph�on.,..-.
11: ------- 1q_=1A1W Not Applicable
dd ress:
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ly Ph one
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ertpriorOWNER CONTRACTOR AFFIDVIT'.' Ao Hcation i's ma., de to rtbtain a
3 work o ! hay x a _y
o do the wof-k a-%nd indicat-,etd,-,
St. I oe� ucie fiwhi i in oo.n. -, n h i,
r; #,�rthaz-
xwillthe ztcfl itsantis m authorizebolded bui"Id[ sum actstructure.
1 11 i?
stru ctu re ; �I ea st co rs1-`[ w liih �joa;r!-1cme Owners Association a n d 1*ev1'ew Y� u r d ee d fo. r any restri ct. io n s which m a y a P p I y-E
In consideration of the aT-n+ir e{ th s requested �,�r ii, ! €�u �����}� agree that [ �i�(. in a!( resp�ets, �a�rf�rthe wor'
approvedin ac%clordance -vvfth thle. plans Building%;Zodes �`
da and Luce
ti � __ a
the toHowinidmall �
-
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ul�
; v� room
1���
d ions.
acce,,,.;sory stru--"ktureE;, swiMM2,
% 001S, fefic'.4es,
i.ff-I nig 9
wa.lis, signs e-en roo.,,,rnz�s
_�r scr
a-nel,
u
a ccessory uses to Zino-Uher
non-residential
tA�ARNlN TLC Ow..NER: YoF°_r to Record a Not;t*ce of Commencement mav result tr vc ur nav
im�are�ve� its icy yourpope-.r;- �bti�e of Commence ent ust be
k efo-re
COMMI
St in If you
,I-cl g wor or re- ral.
in
i nt. % to -�obia financjr.,I cons
0.- OT Lo M;.,.mgance enf�.�.,
r K�4t 0
f � ,
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Signatu!re of Owner/ Lessee/Contractor as Agent fo,'r Oi�,rn
,j
ATE 0F'FJ_..,0,RJDA
W,
�%%Woo - �JtTY i 5
rhe forgo-"'ng instrument was acknowledged before me
is day V1C)
lira',
i
Name o'
ers� ��t--%tement
fficat,
Pe_rsonalilyKnown,,. OR Produced ident,"On
5F
Type or. jr• t 0 -v
Produce
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k.ommi.ssion No.,
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C-OUNTER
DATE ty
S'
RErEIVED
S••
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D-A E r
CONN4PLE"TED
Rev-, -82 7
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.�,,,� 3,en sted o n the i
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for -It
v_;;-ider or an fe-ft+,orney be42
m e
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F�
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i.N-;D 11 4(WF'5 o n t�r � use
STi�TE OF LW�111111 pi -
COUNTY OF
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The for90III!_n9
i n st r u m eat �i-j ct- ct�:
AM
-MI day of
nowlledge.,6d'uefore me
g2 0 " 2 - cv,b y
�
Name of Person mz%zk - statement
Personally Known OR Producedldentifi'cati`&r�
Type of Identificat-ion
Produced
Signatut-e -of No VrmPF..
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ommisston N.
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SU PERVIS,,-*OR PLANS
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