1917 W 14 St - BR18-004244 - PORCHDocumented
PERMIT APPLICATION
Application No:
struction Value: S
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Historic District: Yes Na
Parcel ID: @ ' '® `' esidential ZCommercial
Type of Work: New F1 Addition Alteration Repair ', Demo Change of Use MoveEl r_ .,, ...
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an eFie r Phone:.
x; Email;. 6 1 - `, U i 1 r Property
Clivner Information t
Name+ ,;
c - Phone: i Street: (
6"r•{
Resident
of property? City,
state Zipi q
i Contractor
information Name
9 i s
Phone:
3 Gi' Street;,! !
4 V Fax: City >;
State'Zip. ` . StaieLl4enseNo.:t_/t'I_,!.'_ Architect/
Engineer Infonnation Name:
Phone: Street:
Fax: City,
St -' Zip. E-mail: Bonding
Company: Mortgage Lender:, Address':
Address: WARNING;
TO Oi1'NER: YOUR FAILURE TO RECORD A NOTICE 1W COMm NCEN1ENT MAY RFSUIN IN YOUR PAYING FWICFFORIMPROVEMENTSTOYOURPROPERTY. A NOTICF'OF COMMENCEMENT b'I% ST BE RFCORDF.I) AND POSTEDON7Tkf, JOB SITE BEFORE THE -FIRST INSPECTION. IF 'YOU IN F.NDTo - BTAtN FINANCING, CONSULTWITH YOUR
I.F.NI)F.R.ORAN ATTORNEY BEFORE. RECORDING YOUR NOTICE OF C0M, MFNGEMFNT Isplicatiem is
licreby nradc-ld obtain a pernvt to do the work and hisLallafions as indicitej. 'I certify that no w irk or in tailation lra+ camnncoccd prior to thclisuaaacu
c (n:. perrind thatralkavarkwill b, pet iot me<t to meet >;andards ofz l laws rovlating co Strui;tuin iit thin juricciiciinn. Tuttelerslatnd thut t separutrperntitmastbesecuredforelectricalwork,_plurubin; signs, sclls, paols,.f6rnaecs, b9ilcrs, heaters, tanks, and -air: conditioners,- etc OLIC, 1u-
F13C 1053Sliqlf be inscribed with the Mute 4application and the code in effect as of that date: 6"' Edition (2017) Florida BuildingiCcide
NOTIC.P: In,addition to,the ruji.ditDICIIIS Of [hiS perin it, [liere nmy Ile aettitionah-estrictions a1ppliclable in this prolmiythatinay lie foullid in, diepat?lic
records of this I:611111V, and there hiay be additional permits required fronit othu'pNernilicnLA ciniaeS such as wiver inanugOnent districts, sLjlc
Acceptance oi-ptonil i-, verification that 1 will notif} the ovacr of the properly ofthe requironeats of Florida 1_ien.Law, FS -1 13.
The cil t4Saiii - ord requires papincia of a }plan reran let. pat It!,, linle iif permit sublilittat. A copy of tht, executed contract is required in Inniz-v it,
calculate aplan rcviei chargeand will he considered lhct:sIfinatcdat the time ofstibillil !;I]. file 00IIIII COITAI-Lldill]) VI]LIC will
he figuret a 1liLi,ctiotithc!,ctirrctiii(:(Vziluzitii,tiTzibIL!iticffccI it file I iIlieflic perinif-is 1,lj ett, ill jicc(;rda licewi thlocal ord itizince, Should c Iculatal charg
esligurcd off the ,executed contract exceed ElzG atrial ccrnsttu ttotrsatuc, credit willbe,applied nq0tit-parint fees when,the o.crinitis, isueel, OWNER'
S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work,will be done
in compliance %ith,aWapplicable laws;regulating construction and zoning. 11/
20/2018 Sii,
niatttruif OtvncrLAeont D'Itc Signaurc of(: oi It filaorIAg] It Diac Print
Or:ni-!Av.,n' Owner/
Agent is ale or Contractor/,Agent is Personally Kii6lvri to kle or 0IX— Projuc,
ed"ID ___ Type of ID Produced IF.) — Type of ID BELOW
IS FORDEFICE USE ONLY 01* Permits
Required :1 Building El Neoij,calEl Mechanical' El Plumbing [I Gas,[]' R(ydf Construction
Type-_ Occupancy U geFlood lone: TotaUSq Ft
of BlIdg-.. T)lin. OccupancyLoad: #' of Stories:-, New Construction.
Electric - # of AmpsPlumbing - # of Fixtures_ Fire Sprinkler Periuit-.-
YesEINOEI # of'-Fleallds - Fire Alarm Permit: Yes 0 No D APPROVALS' ZONING: UT11,
JTTES: WASTE WATER: ENGINEERING: FIRE: BUILDING.
COMMENTS: