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<br />APPLICANT <br /> <br />~ <br /> <br />ADDRESS ~~ 02- <br />OHNER~ ~ <br />{ .n.J.. /' <br /> <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D ,l~ <br />WORK PROPOSED:~ew Construction <br /> <br />_Addition <br /> <br />_Alteration <br /> <br />"?Repair <br /> <br />_Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_~~ of Uni ts <br /> <br />_!,l/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />_ELECTRICAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING P-LANS & (1) SET ENERGY FOR!'lS. ** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~:* <br />**COPY OF CONTRACT REQUIRED. <br /> <br /> <br />? (7 j l'lffiMJTS REQUESIED <br /> <br /> <br /> <br />AMP Service Florida Power Corp. <br /> <br />Valuation of Total Construction <br /> <br />RESIDENTIAL: <br />CO!1.I1.ERCIAL : <br /> <br />_B,UILDING <br /> <br />_W.R.E.C. <br /> <br />GAS <br /> <br />;Zluation of rlech&nical <br /> <br />ROOFING <br />_Frame ____Steel <br /> <br />Installation <br /> <br />____MECHAN~CAL <br /> <br />~_. .J <br /> <br />_PLUMBING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br />********************************* <br /> <br />Signature <br /> <br />~CONTRACTOR ~ECTI0N <br />Company <br />c!o, e.'/YJp "* ,-;2 S;2. <br />City License Registration <br />********************************** <br /> <br />il~-.~ 7) <br /> <br />ELECTRTCTAN <br /> <br />Company <br /> <br />S i InH!. t\ln~ <br /> <br />City License Registration # <br />****************************************** <br /> <br />pLUMBER <br /> <br />Company . <br /> <br />Signature <br /> <br />City License Registration D <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Company <br /> <br />Sighatur'e <br /> <br />City License Registration # <br />*************************~*~~~*~~~******** <br />...... . <br /> <br />...., <br /> <br />OTHER <br />-" <br />Signature <br /> <br />Company <br /> <br />City License Registration # <br /> <br />APP~ICATION APPROVED BY <br /> <br />****************************************** <br /> <br />{~{,/~ ;/. ;Si7;; PERMIT OFFICER. <br /> <br />/" <br />