HENDRY COUNTY BUILDING ICENSING CODE ENFORCEMENT

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HENDRY COUNTY BUILDING LICENSING & code ENFORCEMENT POST OFFICE BOX 2340 * 640 SOUTH MAIN STREET * LABELLE, florida 33975 * (863) 675-5245 * FAX: (863) 674-4194 * 1100 OLYMPIA ST * CLEWISTON, florida 33440 * PHONE (863) 983-1463 Application for Residential Structure/ BUILDING Permit *STAFF USE ONLY Received by:*_________ Date Received:*_________ Zoning Approval:*__________ Date:*__________ *PERMIT#_________ Plan Examiner Approval:*_______________ Date:*__________ ____ 2017 6th Edition of the florida BUILDING code *ZONING:__________ *SETBACKS: FRONT_____ft/ SIDE_____ft/ REAR_____ft *FLOOD ZONE:_________ PROJECT PHYSICAL ADDRESS: ___________________________________ City:___________________ COUNTY : HENDRY Subdivision:____________________________ _______ Lot(s):____________________ Block:________________________________ Parcel #:______________________________________ ____________________ Section: _____ Township: ______ Range: _____ Property Owner:__________________________________ ________ Address:________________________________ _____________ City:________________________ State:_______ Zip code :___________ Phone No:_________________ Email:_________________ WORK DESCRIPTION: ________________________________________ ________________________________________ ___ PROPOSED USE: _________________________________

in accordance with requirements contained in the florida building code, section 106.3.5, and hendry county codes or ordinances, the

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