HomeMy WebLinkAboutapplicationr^cesG�
AIAPPIl ABLEINFD MUSFBEOOMP1ETM FORAPPUCAWNTO11FAC[EP7ID '
Date: Permit Nurhber:
PbnMrlp and Devc*mant Sff Aus
ButldWp and fade RepvMfbn ONlsfOn
2300 VWab A Venue, Port Flan FL 344l2
Plwm: Cn2) 46i ss53 Faw (772) 46x-757B
PERMITTYPE: 61- . i _ ^
Building Permit Application
Commercial
Lot No.
Block No.
AddRkinalworktobeperfdrmed underthispermft—cheeksllthetepptr: i
—Mechanical—GnTenk—Gespipieg —Shutters —Wlndowe/Dome
Plumbing _ — —Roof Pitch
Total Sq. RofConsWetb 4
lJ `--SP Ft�rstFl
�e
l:ostotCorisiroCriiln::$ __� __ — —Sap* 81 H81814:
tame ST. Ly IE CoymrY 1So GC i NinI &IVt rr rt, C INe- 44"e
Address:---23 00 1/(✓16-(a(,4 ilv£ . i Company., B
(Ity: Prc-xcl; State: rL_ Addroas: 13W SE AkR AC --
PpCode: 3y9ax Fax: City /�r?r Sair✓/l State;
Phone No. (-772-) H62- 1551 aptbde: 'T3y9j- Fate _
e•MaB: R4 t4mM @ S-rt,tjc (l;cp, oWg Phone No . 6- ✓^/P 3
pf liInbesimpleTideHelderannextpop(Nd'd►eiett ; E 1fe11 W d.+r s./ j-Fr/lrrt�I GWl
iromtheOwn�lhlted above) StideorCauntyLlcensq C- G Lik f�Y- —
Nvelue m n 1L5000fmon,aREt0R0®Notlaofi:mmnwfr,w agilimd
Nvalue of NVACb $YAW or now, a RECORDED Notion atCommxnumalrtb nquhed
• •'I •• �• fir•^ IIIVIIIYAYYW.YrI.•..•
Name:Name: !
,Address:_ --- -----____-- Address: __ ..._.. _--
City: _ State.• _ Clty:
Zip: Phone Ely. P o
FEESIIUPLETTTIFNOLDER: _Not Applicable BONDINGCOMPAW.
Name: Name: I
I
State:_
_Not Applicable
Address: Address: !
C 0 City: I
Zip: ________. Phone: Zip: Phone: i
OWNER/ODNTRACTOR AFfID1RT: Application Is hereby made to obtain a permit to do the work and Installation as fndleamd.
I osdly that no work or Installation has commented prior to the Issuance of a permit
in consideration of the granting of this mquested permit, ) do booby agree that I will, In a
In accordance with the approved plans, the Florida Building Codes andSL lode County An
The following bulldingpermit applications are exempt from undergoingafull o nmrrency,
aanssorystruetures, swimming pools, fences, walls, slap, screen roomsand accessory us
OWARR NO TO OWNEIC YOUR FARUtIR TO BECOFIO A NOTICE OF CONRBIJ]
IWKE TOR OPROVE48M TO YOUR PROPERTY. A NOTICE OF COINW
POSTED ON TIE JOB STPE BEFORE THE F11W INSPECTION. F YOU KIM
TIER YOUR LENDER OR AN ATTORNEY BEFORE TOM NCR= �
Sigmtureof /ntraetorasAgentforOwner nueofon�rocta
i
STATE OF FLORIDA STATE OF FLO DA
COUNTYOF ..- sT. tyue Counrry tODUNTYOFR
Thaforgoing Instrument was acknowledged before me 7hefo IrdInsl
this a2 dayof sa,vonoy 2aso by thisILdayof
6aorry &-wg419-u
Nameef persbn maldngstatement
Personally Known OR Produced Identification
7ypa of Identification
Produced
Commission No. T-F-199y�
REVIEWS FRONT ZONING
COUNTER ; REVIEW
.DD- -
RECEIVED
COMPLETED
SUPERVISOR I PLANS
REVIEW I REVIEW
NUT
TD
of NolIta���ryAAP��ublttl66o-5
iNo.uUut.614 {.
VEGETATION SEA
REVIEW RE
p
! I
I
IN YNNIR PAYING
I RECORDED AND
Kara CORSDET
by
Identification
MANGROVE
REVIEW �,