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HomeMy WebLinkAboutBuilding Permit ApplicationALLAPPLICA劇膿!NFOMu訂BECOMPし陣EDFORAPPしICJITIONTO畷ACCPTED
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BuildingPerm itApp書ication
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2300Ⅵ増血細AvきれuらFb鷹Pjg咋e軸34982
Phone:(772)462-1553Fax:(772)462-1578 Commercial Resident融やxxxx
中MITAPPしICrmONFOR:lbSeIectfromdrophox.clickarowat伽eendofIine l一
PROPOSED ̄lMPROVEM王NTroCAmON:
Addr。SS:霊夢 //」「ルcf在J #/レク 「 l 〈 しegalDescription: l
PropertyTax-D#:L/∫cL上でも/一C,二手Cリー(ンC,C/弓 LotNo」鵜__ SitePIanName: BlockNo. PrQjectName:
Setbacks Fron 」 Back:鵜RightSide: LeftSide:
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Na鵬e `ぐ,._ ∫子とクのoj∠’′’ Na調e:Jo轟nRしaw
側d記製 //十 ル妨 居れノ Company:Law's轡ectricalServicelnc
C叫:丁で〆∫t`「 β〆,孝子4 S糠虹e:′/ Address:5158NWPrimmSt
ZipCode:3与クでフ Fax: City‥PTSTLucie state:Fし
PhoneNo./ズCフ脅 一日日夕る ZipCode:34983 Fax:
各-Mail:・一一一 ̄ PhoneNo.7723704357
甜infeesimpIeTitIeHoIderonnextpage(ifdifferent E-MaiI:jchnlaw5158@aoし∞m
fromtheCinerlistedabove) StateorCountyLicense:29432
請嶋!ueafconst調ctionis$2500ormore,a純CORDとDNo髄ceofCo調mencementisrequtred。
SUPPしEMENTAしCONSTRUC’「IONし肥NしAW rNFORMA丁ION:
DESIG N駅/EN創N髄R:
Name:
Not Applicable
Address:
M0RTGAGE COMPANY:
Name:
Add「ess:
_ Not AppIicable
F駈SIMPしE TITしE HOしD駅: Not ApplicabIe
Name:
Add「ess:
BONDING COMPANY:
Name:
Not Applicable
Addすess:
l certify that no work or insta蝿tion has commence担rior to the issuance of a permit.
認諾誤認,灘蒜盤護譲諾鮨簿鰐護憲露盤欝端
In consideration ofthe g「anting ofthis requested pe「mit・ I do he「eby agree that I w町n訓respects, Perform the wo「k
-n aCCOrdance with the approved plans, the F10「ida Bu渦ng Codes and St.しucie Countγ Amendments:
The f輔owing bu棚ng permit applications are exempt from undergoing a榔concu汀enCy 「eview‥ roOm additions,
aCCeSSOrγ StruCtureS・ SWimming pooIs, fences′ Walls′ Signs′ SC「een rOOmS and accessorγ uSeS tO anOther non-reSidentiaI use
盗離)聾霊豊言盤:盟惇悪業悪霊禦聖霊聖等聖聖聖堂雪空軍曹融壇で一mP「OVementS tO yOur PrOP譜A Notice of Commencement must be recordS清畠志村茄苗窃蒜
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●● be†orethe†irstinspection.1fyouintendtoobtainfinancing′COnSuItwithlenderoranatto「neybefo「e COmmenCin露wo「kJ)r「eCOrdingvourNoticeofCommencement.
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ーSlgnatureジ弟ner"eseeMgent S tu f ′ ● lgna r Contractor/しICenSeHolder
認諾豊0蹴鞠/初を 認諾豊oR-D視左,之
Theforgoinginstrumentwasacknow一諾諾e th盲s YOf/旭
∴三三二二:二 (N∂meOfpe「sonacknowIedging) ∴二言∵ 十二
(蒔natu「eofNotaryPub厄StateofFIo融a) 〈SignatureofNotaryPu輔c-Stateo洞0「ida)
EersonalIyKnown」L_ORP「oducedldentification p。r。。n。l,,Kn。Wn÷_也。R,。。du。.dident,fi。ati。n lypeofIdentificationProduced ’i3。al Co塙藩詩誌慧霊妙。録 Typeofldent絹cationProduced
commissionN〇・、・・・握,_甲8飽くSe尋。 訴●薄個きe犀o
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COUNTER REV拒W REVIEW R巨VIEW REVI巨W REVほW REViEW I
DATE lcoMPしETE
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