HomeMy WebLinkAboutREROOF PERMIT APPLICATION - 401 PAUROTIS LNjWj APPLICABLE INFO MUSTHE COWLr•rtb F-OR APPur_ATj0N TO RE ACCEPTED
3-4-2Q2 --
Permit Numhfr-
�: Building Permit Application
SUUoInp On Co1de d �{epdfoIkW VM$- o [?ITy E`F�i� f 2S l� f11r�
.23DO PIFg1lrrAr Awmwp, Fort A4FbP A A498Z
Phone. (7721462-1$53 Fax- (nZ) q��-ISTB C3DG F 11 r-td «g
PERMIT APPLICATION FOR; REROF
PRp POSED 1 FP+IP fl[OVEM ENT LOCATION:
Address: 401 RAURCI'TIS LN F7-PISRCE
RroplertV Tax ID p;341 25 -000-2 Lot NL�. 7
Site Pain Kipme; BIWck No.
project Name;
DETAILED t)ESCRI PTION OF WORK,
JNSTALL j�I P711L11�1 li9il - -___ �j�j pp ��yy icy y 7 1
l'T�aa i zi^iiir�■ it _ Irk r�I 1M[A. _ V, 1 �7— I21 r32
New Eieurical Water --5eemnd Ela%nriGal Metter. _ ._ (AffldwiE ri!qukedl
CONSTRUCnO N INFORMATION'
Addiional wprk tip oe pe+idrmed wndeF thiN pe mit - EbmA AIM Uhm appkyl;
_N9achimikal _ Sm TA nk a CAAPiping _ TAlutters _ w41ndawsjVmr-5 _. RoRd
_ EIrtc Ic �, -pIumhi ng —Sprinkler& _ Ge"rator pooF 5112 Ph&
Total Sq- Ft ad [anstrucIlin: 1899 _ Sq. Fr, of First Flog-
Es
Est of Cmtrucmn, � I090Q UFdlfes- _ 5�ewer _ SpUc Rudlding Height, R FT
[-61WN EL>`ssE —E;
name Mich all G orrcaek
Addcess:4101 Pau rC& i- N _
o ty PORT PIERCE Mate; FL
7I p Code Fikx-
WRACTOR:
Name:
Corn.pmnw' SNOF€SLINE ROOONG
Address: V$73_ SW [�L ENDAL 5 STREET
CIty; state FL
Phone Nfi- E- zip [bde; T Fax: _
Mail-.- Phcnn No 77:2-9565 —
FEI in fie jAmple TWm 11*Mdbr nn neat pW {If diffe-mrot I E-Mail �HI�REi.INE���F I N �'Ali��.��h�l
from the lbwner listed 211:4 } 5tet�! cr Caw" License q! 1331174_
rt value of t1]RI3crJWon is 2 500 or +Marc, a Rf-t0RUE4 %adre bl G0 MMgnu--* IS fLPgL**111-
Yf y;kLut Of HAVC L% $7,5W Dr more, a REC'DRGX0 IM0tfir1± of fprinmenrmment Is MjuIffed•
SUPPLEME NTAL CO NSTR UCTION LIEN 1..+4W IN FOR MAT1 ON:
VE51GhIEWEl GINEEIL Not Applicable
Na Me:
Mdrms; _
Ci : State—
inp, PhanQ -
FfE SIMPLE 1'1Y'LE HOLMR: _ Not APPIkAW
Name:
Addr-ess:
1 Qty r_
dip: Pl�orye;
MORTGAGE COMPA-NV- � r��E Applkable
N art1e:
Addresz:
City; State:
zip" P Dne!
BONDINaCOMPANY-
—Nvt ApIpirtabre
Name; -
Addness_
My;
BP; f1home.-
OWFiER/ COFITRAGTOR AFFIDVIT,- APPUraticm Is Webe made toob[*In a perrrrltto do ktt- wwk and Instal. Orl as Indkaoed.
I certiFyr that hL3 Wrjrk or In5-kAllatl0r1 has [orn ed prior [0 ewe isRgFlc* Grf a permit.
��� ul%[M makes Fin resentETI` n that if rahri!� a perrnlk wil *uthdrlL the permit Pbok t w �IId tf•t slrLU ire
whlth i � wi�+� at+y� appl�cablq Hrt�hBnr�ners iasa�ar,oh rkries, byUws a and too enantf that rrQv restrict or
sknAturp- p��ese consulT with yrbur Hbmeawnpr% As ailon and r4v-nY lour 4Ieed foir arg rlteri[1lDns which rnEpp .
In rnnsjderatlan Df the granting ok Eh* requnstao ptrmlt I do hvgr-tfy ay L-- [hat I will, •n III nespect;, pwFQrm am wank
1fi acccrrdsntr v r[h Ow approvmd plAns, the Florlda BLJIh' V Codes aFld 51 Lurie Coun" AMv1ndmrhrj.
The folwwy rkg b„ IIdIeg aermn a;,plitarlarls are em*riml: From wroWmanE a 'Lill tancurreaw TzMrw; Mom mWitiam,
a�swrlr Etrucx ws,;wlrrfm[Tw pW5. Fanras, walls, signE,;wwFl etorrrs and ;pmr&.wrV uses waawthornon4*saftntlal Use
WARN ING TO OWNER: Vmr fadura to Flemrd 4 NuUca of i�omrrrenwarrMnl nrR result In p*rd t wicE for
improvements to %.Wr prop". A Nodte of Comil-mnament must be recorded in the public recPrd5 of St-
i .Iola rd-bi irnt u =hnel nnstLud -nn tNip bahr m 6ebre llia flat inspecti0R- If You Intend to o btal n firl ancing: tM n 5011:
STATE OF III DRIq - —
CUUMV f f 1 1 4 t �
S world jo (Or afft I and_ bmfted befwt nne of _ Phy l Presence a Oallne Nalar+; pktlth
Narnd mr person making
Personally KmaYrh •� j]p PTpdut&d Ioe'gtlFlCat14F1
TYgw of 0�ntJOcatron Pr4dured_
t5ign?Ture P71%*L- state 0f
pRAr4Dv NsOQFE
Cornre1i5810+1 NO. I r
Jatar� R1eb1ir -T1'K01= a+ F w ail
�ammo 3+nn Y ail � ' • �]?15
ML rgmni.o--Mali=4riiMc
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