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<br />APPL'T'.t"C"2!:Oilll f\~:i. ~~rrT <br />crT1.. ",jJ' :t..:EPBIimILLS <br />BIITI.DDIC DEPAKntE:Rl' <br /> <br />OWNER'S IWtE J /) N (- <br />OWNER'S ADDRESS $>" l)':< ..5 <br />.3 /'101 <br /> <br />C Il e i s IY) (- !2.. PIlOn 7:;--2 - :/ b /0 <br />JfJc Q \) ~;,. N \- [)t2- Z ~jtlL{' It /~/,. <br />() l-1l6us j"/J.. t:" f)/L. <br />I " <br />LEGAL DESCRIP'l'Imf: I..OI'(S) 8-9 BI.OCK SUBDIVISION <br />PARCEL LD.' Ie - J (0 - :) I - Ouuoo - 0 J 2 GO .- CJ 8"90 <br /> <br />G- <br /> <br />JOB ADDRESS <br /> <br />~) G- de; I- vJ 0 u d /lJ,qAJ()1'- <br /> <br />WRK PROPOSED: VlIev Coost:ruction .-.J'ddit:ion __Alt.erat:ion _Repair _Inst:all <br /> <br />_Sign <br /> <br />_Move <br /> <br />__ ~_DeII01ish <br /> <br />PROPOSED USE: <br /> <br />VS;:gl e Faai1y <br /> <br />_KIF <br /> <br />_, of Unit:s <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust:. <br /> <br />_Swi..-. Poo1 <br /> <br />Ot:her <br /> <br />_Rest:aurant: &: Hea1t:h ~t: Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet:, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cottKERCIAL : <br /> <br />A'l'TACII (2) PLOt PLOS &: (2) SEIS OF BUll.DIRG PLUS &: (1) SET ENERGY FORKS. ** <br />ATTACH (3) SETS OF BUllDDIG PLOS &: (Ij SET ENERGY FORMS. ** <br />**OOPV OF OOWfRACT RIlQtDIRIlD. <br /> <br />VimnTS REQUESTED <br /> <br />_ELEC"l'RICAL <br /> <br />, J oJ <br />$ ,C;;- ~ S' 0 =-- _Va1uat:ion of Tot:a1 Const:ruct:ion <br />Is-V MiP Service Florida Power Corp. <br /> <br />~R.E.C. <br /> <br />_BUILDING <br /> <br />_KECllAlUCAL <br /> <br />$ <br /> <br />2 J'l)J .)~ <br /> <br />, <br /> <br />Va1uat:iOfi of Mechanica1 Inst:allation <br /> <br />_PLUKBING GAS ROOf rJN'G <br /> <br />SPECIALTY <br /> <br />TYPE OF OONSTRUCTIOIl: _B1ock _FraIIe _St:ee1 <br /> <br />Other <br /> <br />FllIISHED FLOOR ELEVATIOIlS: xS-: I FI'. <br /> <br />IS PRO.JE'C!' 1lI FLOOD ZONE AREA? ............-- <br />YES NO <br /> <br />**********************~******************* <br /> <br />BUILDER <br /> <br />COIITRACIOR SECTION <br /> <br />AJ 4 OO!IPMfY (;J, c -11e~ ,,-""~ - . <br />O St:at:e Cert:. or Regist:. f Re.. 00") cJrz '-/ <br />Signat:ure . _' 'i-'Yh ..6"............ Cit:y License Regist:rat:iop. f 0/ <br />- **..***........*......*.....*.**....*...~~ - A <br /> <br />ELEC"l'RICIAN' OO!IPMY~~~V~~ . <br />: '1~ -/ } Stat:e Cert:. or Regist:.' .~ ~{1\f'J:-O.tJ /;;., J<J / <br />SiP'lla_~ Cz/~ Cit:y License Regist:rat:ion I ~() 6 <br />******************~********************* <br /> <br />PLUKBER ~{\~[ (> /f/~)~ /SAIt1Z ~ <br />d ~g Ii ~ Satr Cer~_ or RegisL" /( -:;;;:- n - <br />Signature /?~A. .. _ P. C:::_t)' l.icense Registrat::i.on I C7 <br />************~****,.***,~*... *******t-******;I,*** <br /> <br />Signature <br /> <br />~ OO!IPADiY ;(;NSr C.Q,vt~ <br />- St:at:e Cert:. or Regis . I t;JOSe!/ ~ <br />~ 6"') City l.iceose Registratioo " 7 ( <br />~******,.********************************* <br /> <br />OO!IPANY · <br />Stat:e Cert:. or R~gist.,j <br />Ci~ License Registration , <br />t-*****~*********t~***;I,**~***************** <br /> <br />KECHA.InCAI. <br /> <br />Signature <br /> <br />O'THF.R <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />