HomeMy WebLinkAboutNEW HOME EXTERIOR RENOVATIONSPAUc 06/06
04/18/2018 10:34 5082400587 STAPLES:1116
SCANNED
BY
St. I-Ude pamsy RECEIVED
,OCEAN RESORTS CO-OP, IN(:. JUL h 2 1'398
5101 N HIGHWAY A1A
FORT PIERCE, FL 34949 1ST. I��EIec�nrv, p.,n�c i, q
(772) 464-4903 FAX (772) 464-0709
NEW HOME, EXTERIOR RENOVATIONS & REMODELING APPLICATION
Date:, D�j /8 —, 2 o / S-
Owner Name: Cro
Lot N'o. r Address: J5-d 7 () C h b'A'U'{e-4 �I
Mailing Address:
(If other than Ocean Resort)
Phone:
Cell: F 2- Ll (a T �L 01-
please consider the follow! na for aooroval: (Use additional sheet if necessary.)
/mac err c ser-✓tc,e ` c, ke-CDt1Vpr4r:� --?m rf)l f-?fqvcd �q
Submit detailed. plans, pictures and quotes including samples of colors, materials, or. hplk 15 f
specifications, detailed location plans and/or construction plans if applicable. The f allowing �� 09
contractor information must be included: 1.1 ce 2. Permit 3.. FL License � -7 h� 5 `V.*
4 � e
Signature of Owner(s): de b y 6 rge.j
1 - r'� bn 4 & (,v-erY ° 1411
Denied Approved (with contingences listed below)
Contingencies:
Manager: Date:
APPLICATION IS VOID AFTER NINETY (90) DAYS FROM DATE OF FINAL APPROVAL IF WORK IS
NOT STARTED.
PLEASE SEETHE BACK OF THIS FORM ADDITIONAL INFORMATION.