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; � <br /> • � • � ' APPLICATION FOR PBRlLLT <br /> CIT3[ OP 2EP8YRHILIS <br /> BUILDING DSYART!lBNT <br /> o�sR�s �•� Gr� c�� Ze�tw�t.��,�.�s eaoNs ???L— l s9`� <br /> o�ett�s �►n�sgss <br /> .1oB ADDRBss �1 �1�1 C-�P.le+elL � ZP�PH`(1�►�\l.Ll � (� 335�-�\ <br /> LBGl1L DSSCRIPTION: LOT(S) BLOC�_„StIBDIVISION <br /> PARCEL I.D.# O 3 �� � ���C lC ZQ� O0 1 v (OBTAIN FROM PROPEICPY TAX NOTICE) <br /> fiORK PROPOS�:�New Constructioa �lddition �Alteration ��tepair Install <br /> Sign _,_,�love Deaolish <br /> PROPOSBD llSS: _�ingle Fa�i�y !!/P • of Units _,,,�l�H <br /> �Corercial Indust. Sria. Pool OtLer <br /> �esrn��*A�t � Health Depattsent Approval <br /> DESCRIPTIOP OF fiORiC: 1�M C/'1 <br /> BUILDING SIZS: X , Square Feet� Height <br /> RESIDENTIAL: •ATfACH (2) PLOT PLANS 8 (2) SBTS OF BIRLDING PLANS & (1) SEP BNSRGY FORMS. <br /> COMHERCIAL : ATTACH (3) SB?S OF BQILDIBG PLANS � (1) SBT ENSRGY FORlLS. <br /> PROPBRT1f SURVHY HB�QUIRBD FOR ALL HBiT CONSTRUCTION. <br /> PERHITS R6QUSSTSD <br /> BUIIAII�IG S Valnation of iotaZ Construction <br /> BLE4TRICAI. AlIP Service _Florida Power Corp. W.R.B.C. <br /> ____,�lBCHAIiIC6L = Velvation of ltechenical Installation <br /> PLUHBING GlIS �OOPING SPBCIALTY <br /> TYPH OF OOIiSTRUCTIOli: _�lock Pra�e Stee1 Other <br /> FIAISBBD PIDOR ffi.BNATIOBS: [tl'. IS YROJEC[ Il� FfAOA ZOPB ARBA? <br /> YBS BO <br /> •**s*�t*����ta*ts::t�tt**�tt�tftt�*�*aa��� <br />, CORTRACl'OR SBCfION <br /> � ooe�e� ���aE �+��-►�c-�..1 CcMs,�v�„o.u <br /> �1 State Cert. or Regist. # �(1�0 4 6 3 <br /> Signature �o.---Q. (� �l__ �,� Citq Licease xegistration � 3Z <br /> if�tft�ff**#��f�t#*t#f!4!�latA���ltfR+f4tft <br /> � CO�A� <br /> State Cert. or Begist. # <br /> Sianature City Lic�se Registratlon � <br /> �**s�:*:f*�it:=t*:****�:�*ii�f�:�fa:t:t*** <br /> Pldill��B 002II�AlIIf <br /> Sta.te Cert. or Regist. # <br /> Sigaature City License Regist=ation i <br /> :��**t�s��s::�**�t*�**�rR*::****�itia*f*+►� <br /> d6S�d�6L. (�lIPANY �d iY'��(5 A��CO v1�C 7� �,dw�-7�� r <br /> State Cert. or Regist. # <br /> Signature City License Begistration � �- <br /> • * e****�**�,►*���i**��!**ta�r*�**i*ir�t� <br /> 9TT�B CQMPAHY <br /> . Stste Cert. or Regist. 1� <br /> Sigaature City License Regiatration # <br /> f*�tt*itttftfflf#!!�*1lf4tf�t**RR!*l�t�f*t <br /> APPLICATION APFROVED BY PERlQT OFFICER. <br />