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<br /> <br />.' <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />(' <br />L :7. ",J( . <br />~. <br /> <br />,.,1=.' <br /> <br />PHONE <br /> <br />OWNER <br /> <br />" .~: y'; . ~.~'?' . j <br /> <br />'. <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ.FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.a <br /> <br />WORK PROPOSED:____Nc\v Construction ____Addition ~Alterntion ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />----,:Sign <br /> <br />_~Iove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~/F <br /> <br />_f~ of Units <br /> <br />,._tl/l! <br /> <br />_Commercial <br /> <br />---,:-Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & IIealth.Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fcc t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMHERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-IS.** <br />ATTACII (3) SETS. OJ? BUILDING PLANS & (1) SET ENERGY J?ORNS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />v/ <br />_BUILDING <br /> <br />s 9; 2 /0 ( 0\) <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AHP Service' <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.. <br />.. <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />'" <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />____Frame _Steel <br /> <br />,Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br /> <br />Signature <br /> <br />~CONTRACTOR SECTION <br />Company <br />State Cert. 0 Rcgist. lj <br />City License Registration U <br />**************u********~***~***~* <br /> <br />~ <br /> <br />ELECTRTCTAN <br /> <br />Company <br />Stote Cert. or Rcgist. U <br />City License Registration U <br />****************************************** <br /> <br />Si!?'nature <br /> <br />Company . <br />. State Cert. or Rcgist. 0 <br />City License Registration il <br />****************************************** <br /> <br />.PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. U <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Rcgist. iI__ <br />City License Registration fI <br /> <br />OTHER <br /> <br />APPLICATION APPROVEO DY~~"~'::;:~;:"~"*'***""" <br /> <br />PERl-lIT OFFICER. <br />