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<br />T <br />" <br /> <br />-~'"" T <br /> <br />'7/\ c-l:: <br />VV.' -' <br /> <br />_LICAT:L~~RPERl'IIT <br />Cl,TY OV', ~ HYJUlILLS <br />, ''S_'' <br />BUILDING'l)EPARTt-IENT <br /> <br />,\DDRESS <br /> <br />,\PPLICANT ~/I '?e:-rI-s~;. <br />'3 < 5:: L/ <../ '3 ;2i <br /> <br />/lief I p~ <br />,ion LOCATION ~1,,~" <br /> <br />" <br /> <br />.A1) <br /> <br />PHONE <br /> <br />7~'2'- 8/ 'f d <br /> <br />(,h'NER <br /> <br />.....' <br />,k <br /> <br />", <br /> <br />LOT SIZE X <br /> <br />AREA SQ. FT. <br /> <br />-,EGAL DESCRIPTION: LOT(S) <br />~ fl\RCEL 1. D. il J /- -z.. (, .- Z,I <br /> <br />BLOCK SUBDIVISION <br /> <br />C1 C) J C - I <?~" D -' (;9 I 'i [) <br /> <br />',,'ORK PROPOSED:_Ne\.} Construction _Addition _Alteration ~epair _Install <br /> <br />_Sign/Temp, _Sign _Hove _Demolish <br /> <br />:'ROPOSED USE: _Single Family _M/F _il of Units ,,_H/H <br /> <br />_Commercinl _Indust. _Swim., Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />~ESIDENTIAL: <br />c:omlERCIAL : <br /> <br />ATTACH (2) PLOT PLANS [, (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS or nUILDING rlANS & (1) SET ENERGY FORHS, ** <br />**COpy OF CONTRACT REQUIRED. <br /> <br />J2.EllliIJS HEQUESTED <br /> <br />_BUILDING <br /> <br />s <br /> <br />Valuation of Total Construction <br />~i1, ~d7~ DA-vV'-~ <br />MIl' Service ~. Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />~LECTRICAL <br />_MECHANICAL <br /> <br />leo <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROO PING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />fINISHED FLOOR ELEVATIONS: FT. <br /> <br />********************~********************* <br /> <br />.QQlITM~':LOE SECTTON <br />ll\J1T.DER Company <br />State Cert. or Rcgist. g <br />Signature City Lice~~~,~ratinn J/ <br /> <br />.1 w..w.......*":::::~,:..~,Hd;~}V <br />:;::::~,:~~~,*..*w.w~~~~::~~;;~::~:;~E;;:~~~ J' 2~';j <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. j! <br />City License Registration" <br />****************************************** <br /> <br />PLUMBER <br /> <br />signature <br /> <br />Company <br />State Ccrt. or Regist. # <br />City License Registration 0 , <br />*******************~************~********* <br /> <br />HECHANICA1. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration g <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />