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[BLD - Permit Application] 8 3 2022 - 2022070882 - BUILDING RESIDENTIAL -SINGLE FAMILY - 07-11-31-701 - 49 Bannbury Ln, Palm Coast, FL 32137.pdf

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Reviewed for Code Compliance: 8/3/2022, PERMIT #: 2022070882 Permit # Detailed description of proposed work: Estimated Value: $170,000.00 New Single Family Residence Florida Green Building Yes No HOLIDAY BUILDERS INC (407) 745-3797 Property Owners Name: ______________________________________________Telephone: _______________________ 2293 W EAU GALLIE BLVD 2293 W EAU GALLIE BLVD MELBOURNE, FL 32935 Mailing Address: ________________________________________________________________________________

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Reviewed for Code Compliance: 8/3/2022, PERMIT #: 2022070882

Permit #

Detailed description of proposed work:

Estimated Value: $170,000.00

New Single Family Residence

Florida Green Building

Yes No

HOLIDAY BUILDERS INC
(407) 745-3797
Property Owners Name: ______________________________________________Telephone:
_______________________
2293 W EAU GALLIE BLVD 2293 W EAU GALLIE BLVD MELBOURNE, FL 32935
Mailing Address: ____________________________________________________________________________________
DCOLEMAN@HOLIDAYBUILDERS.COM

Email Address: ____________________________________ Fax number: _______________________________________

RICHARD ANDREW FADIL
Licensed Contractor Name (must sign the application) _______________________________________________________
HOLIDAY BUILDERS INC
Business Name ______________________________________________________________________________________
2293 W EAU GALLIE BLVD MELBOURNE, FL 32935
Mailing Address: ____________________________________________________________________________________
CGC058770
407-745-3797
License # (of name listed above) _____________________________
Telephone _______________________________

DCOLEMAN@HOLIDAYBUILDERS.COM;SPETTKO@HOLIDAYBUILDERS.COM;BSTONER@HOLIDAYBUILDERS.COM;JHALLOCK@HOLIDAYBUILDERS.COM; DGAY@HOLIDAYBUILDERS.COM;TALFONSO@HOLIDAYBUILDERS.COM; MDUBEAU@HOLIDAYBUILDERS.CO

Email Address: ____________________________________________ Fax Number: __________________
Job Location / Address

Legal Description / Parcel Number

49 BANNBURY LN PALM COAST FL 32137

07-11-31-7012-00060-0250

Sub-Contractor

Name

Phone Number

EL

COASTAL ELECTRICAL CONTRACTING INC

386-409-3616

EC13004432

BP

PRESTO PLUMBING LLC

904-647-1820

CFC1429261

ME

MIKE MORELLO INC

386-445-5023

CAC1819466

RF

TURNKEY CONSTRUCTION PLANNERS INC

321-288-6415

CCC1327235

Organization
Bonding Company
Architect/Engineer
Mortgage Lender

Name

License Number

Address

WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR
AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR
NOTICE OF COMMENCEMENT.

Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work
or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be
secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS,
HEATERS, TANKS, and AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in
compliance with all applicable laws regulating construction and zoning
OWNER’S ELECTRONIC SUBMISSION STATEMENT: Under penalty of perjury, I declare that all the
information contained in this building permit application is true and correct. By signing this Electronic Submission
Form, I consent to use electronic communications, electronic records, and electronic signatures rather than paper
documents for the form(s) provided on this web site. I understand that my electronic signature is legally binding, as
stated by 2016 Florida Statutes Title XXXIX Chapter 668 Section 50
Signature of Property Owner

X

OR
X

Signature of Contractor required if identified above

RICHARD FADIL