HomeMy WebLinkAboutREROOF PERMIT APPLICATION - 6001 ADONIDIA PLAll A?p UEABLE I fkFo MIJS r BE CCU PLETi ED fOR APPMAVION TO dE A(:CEFT EO
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� L_I` Ik . . I . Building Permit Application
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Pho-ne: 17TO 462-1553 Fax; [7 ) 452-1579 C$ D-6 find I n g
PERMIT AP P UCATIGN FOR, RER ?F
PROKYSED IMPROVEIM6ff LOCATIOW J
A.ddnfts-. 6001 ADON I NA -PE FT PIE RCE
PropertyT*x III u. 347 -Q:_037Z-2L-0 — _ _ iat No. _
Site Pla n Name- glork No. L
Frojec# Narrie:
DETAIL-ED V ESCRIPTION OF WORK'
INSTALL PE EL & STI CK U NDERLAYME NT EL2569
I nisliti I salt El 10FUA -- INSTALL R113G T NQA NO, 19-1217_03
p1ew Electrical wtar 5econd necriral meer (Affidavit rr-gwred I
I CONSTRUOTI Gk`,E INFORMATION:
Adi7itl-onLLI work to ve perfprmed udder this permit —check all that apply:
_Mecha-9ical _ Ga;s Tank — -Gas Piping _ S#1Lttbers _ Winde#ws/bonrs Pund
ETerwk _ Plumbing _ SpTinkl mrs _ Generator x R,;Gf Pitch
tonal Sq_ Ft of Co"Oruet6m- 207
Sq. Ft, 011' Flrst Floor! 2076
Cwt of Construction! $ 1 N0 _ lJ 11tws' —SOW _ Septic puljdang Height:
8 FT
OWNS WS-EE, COVRACTOR,
Navne Name_
Address= 6001 Ad-Drudaa PL Comp3Hr. $H�YRELlNE ROOFING_
- € �_ GLET��LE i SETFC T PIE StaE
Zip Cede. 344R Fix; f: at'11 "r RT L I Q-1E Sda[e; F� _
Rhone No. E- ZipCudl-: 34967
M All: J _ Phone Na 772-2$0-95
Fill In fiie simpLe Title Holdiff on next par lif different iE-Mail 8H0RELLNERpilNG@YAH00.00FA
From 111e Owner llsti+d abvtinel State or Cnuntyr License GG_ 13 1 17
11 VajUe of C rrriY PttItk l IS 200 or more, 4& HtO RIDEO Nmlre at CurTimpncemeht IS re WIrv&
11 valu4 of HAVE 6 $1,500 a mam. b RECC*139 p Notice & DUrr—s—anent ils iequkvd-
SUPPLEME NTAL CO NSTR UCTION LIEN 1..+4W IN FOR MAT1 ON:
VE51GhIEWEl GINEEIL Not Applicable
Na Me:
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FfE SIMPLE 1'1Y'LE HOLMR: _ Not APPIkAW
Name:
Addr-ess:
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dip: Pl�orye;
MORTGAGE COMPA-NV- � r��E Applkable
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Addresz:
City; State:
zip" P Dne!
BONDINaCOMPANY-
—Nvt ApIpirtabre
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Addness_
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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 - —
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REVIEWS Fr{�MTZONING SUFERV15OR
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