HomeMy WebLinkAboutBuilding Permit Application手ヽ
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BuiIding Permit Application
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Pho鴨: (772) 462-1553由x: (772) 462寸578 (bmmercia!Residen屯夢や激職
PERMIT APPしICA蘭ON FOR:To SeIect from d調pbex. click arrow at the end of line
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Site Plan Name:
PrQject Name:
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coNSTRuCnON INFORMATION :
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寄omthetmerIistedab脚e) StateorCountyしicense:29432
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諜GAGECOMPANY: NotA師cable Name:
Add「ess: Add「ess: City:
City: State:
State: Zip: Phone: F駈SIMPLET!TしEHOしD駅:NotAppIicable Zip: Phone:
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Name: Name: Add職業遁: Citvこ Zip:
Add「ess:
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l certfty that no wo「k o「 instE岨ation ha3 ⊂OmmenCe車rior to the issuance of a pe叩it.
鑑識幾認一灘蒜盤驚籠欝鮨謀議鰐競意識鵠諦観
In conside「ation ofthe g「anting ofthis requested permit・ l do hereby agree that I w町n訓「espects, Perferm the work
In aCCOrdance with the approved pIans・ the F10「ida Building Codes and St.しucie County Amendments.
The f輔o両g buiIding permit appIications are exempt from undergoing a fulleoncurrency 「eview: roOm add軸s,
aCCeSSOry StruCtureS・ SWimming pooIs′ fences′ WaiIs′ Signs′ SCreen 「OOmS and accessory uses to another non-reSidentiaI use
WARNING TO OWN駅: Your faiIure to Reco「d a Notice of Commencement may res蘭叩ou岬yi噂t繭ee for
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COmmenCing wor来J)r reCOrding your Notice of Commencement.
_ Signature of ne「lしessee/Agent
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