HomeMy WebLinkAboutREROOF PERMIT APPLICATION - 6037 ALEXANDRIA CIRCLEAll APFLItAIDLE INFO MV$7 Eif COMPLETED FOR APPLJCATION TO BE Ai`C "M
Date'
a-4-2022
Perm.t Number-
-•. Lam_, C
D J' l`
ij
L , Building Permit Application
ptnnoig and Drvrrdpnmon[ Serurces
dimg and Code AsmLhtvfian -m C�rrin��rda1 R Sid �tEa1
2300 Sly gIM3 Avenucr Fon arm PL 3402
Plume: [1721462-1553 Fax; C 1462-1578 CO DG F and I rig
PERMIT APPUCATION F0R: 1RER00F
P RUPOSE D IMPRUVEM E NT LOCATION;
Mdres€: 6037 ALEXAN DID IA CI R FT PIERCE
i'rbpenv Tam I a #; 10-503-0174-000-2
tflt'lo.
51Ce Plen Name:
Block Nb. F
Prvleet Fume;
DETAILED DESCRIPTUN OF WCRIB:
REMOVE-StIINGLE ROOF
I 1 7 EfFT N 19-1217 0;#
New EkariCai �+I r qnd Electiini lV mly — — LAM davit required)
CONSTRUMON INFORMATION;
Add iijemal work to he p-triuirrR-d under this oermlj— check all that api�lw.
_m.&ChOm4CSI —Gas Tapk _ Gas Piling _ 5h,AFter5 _ Wmdvws/Dovr* _ panct
_ EweffHe _ PIuKrlbiFr* _ 5prirkklle rp _ Ge nUF3tOF _ pmot 5412 flit=
Totak 5q. Ft 4F-On nstruction- Z5bQ 5q_ Ft. of First 0*0r: L�550
Est cd Cunstructio rn= S i CKM UtlLitim _ Sewer , 5ept iC Buileling Halaht' a FT
awry E I LESSEE: CONTRACTOR:
11ame E rd I �wk+ns F Na MEL:
,dress_ 51 OR yora k GIFT _ C:Ompany SH0RrtLIN1E ROOFING
cny- Frederick State!CO Address: ;9F3 SW GLENDALE STREET
zlp Cade; _ max: Clsyr: PORT A7 L_IH,IE _ State= FL
Phone No F- Zip Code; 34987 Fax;
ti mall: 'Phone Flo=-9665
Flif In The simom 1Ltle Holder on next }age (If dRhLdf mt £-Mail SH0RELINEIRI F 1NG YAHb0.00m
frorrti the Qwner 4%led o!)MM) Stat-e or �'_ountY iicenSk 13 17
ar value 0 wr,sCrvrCMM If 750a OT more, a RECORDED NWke of Cornmmmer—nt Is requkvd.
If valum of F1AVC la $7,30J ar morLL, a REL4RtWo 4wiveof C mmmemmmumT is regUlred-
I
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
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