HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONd i,
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From: nevllle robinson anemign@belisadh.net V SCANNED �+m
Subject:To: nickCcoasiafflooring.netSt Lucie y
counf. �
Date: May 4, 2015 at 12:53 PM aJ
Please sign and have notarized two copies of the second attachment. The work estimate is also attached. Thank you
and sorry for any delays.
ALLAPPLICABLEINFO MUST BE:COMPLETEO FOR APPLICATION TO $E ACCEPTED
Date: 5 aq \ 5 :Permit Number;, 5 o y s
"D MAY 2 9 2015
• Building Permit Application
Planobw and nevelopmentSewices
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23iXl Virgin(gAvenue, FarrP(erar fi 34982
Phone:(772)462-1553 Fax (M7 462-1578 Commerciol x : Aesidential
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Address: I12 SJ WcAg—Z
Legal Description; C.( 1"ib 1 Kin 1
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ItvaW4 ofoons"etlon IS$2SWo mure,4RECOROEtl Notice ofenmmencemeat fs requfreif:.
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DESIGNS
Name:
ENGINEER:
,Not Applicable
MORTGAGE CQMPANY
Name:
_NotAppficatile
Address:
Address:
City:
Zip
:Phone:
Stater
City: -
.Zip: Phone.
State;_
.FEESIMPLE T'ITLEHOLDER.
.Name:.
_NatApplicabie
BONDING COMPANY:.
Name:.
Not Applicable
_. App'
Address;
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Address;-
Cityi
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Phone:.Phone:
I certify that no workar installaYun has tommencedprmr to the issuanceof a peraut.
The rgoinglpstr� "",entWas ackrovledgei�efore me
this day af'l I y ; 20'�7 by
REVIEWS
INRIAIS
FRONT
COUNTER
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hly COMMISSION #
Thef ng imfrGmentuas acknowledged before me
this2_day.pf ��.20 �.6y..
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"�'""''• CHRISTA I MMONS
2 Notary Public - S to of Florida
My Comm. Expire Jun 29, 2075
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