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<br />,i\ Hl',P'I...T. Cj'\'l'j[OE'J ]rrOL~ JP'Ir:nt?'rrT <br /> <br />GJLTY O:F ZEH'JIn'nnnlJLS <br />TIJRJ[IHJj)JLl'~G nUTJI"ARnn!mT <br /> <br />Oh~17.R 'S NAME Cf).. U 5 ~ ~L L m , g FZo Lv "t <br />mfNER'S ADDRESS 75 40JJ J'1 N G:. Et-.14 COU:l.T <br />I+-,Oq SJLvEfl... r I f2" zEP~'Yrz4\LLS <br />t"!\ 0'0 E L )<1.BSD 1-0 T )::::. <br />LEGAL DESCRIPTION: Hl1r(S) ..:# 3 I BUX:'X .srmnI\'ISTm{ <br /> <br />P1iO~m, <br /> <br />1 80 I 5~q._ <br />FL :s ~5q...t <br /> <br />.lOB ADDRP.sS <br /> <br />Z 6 PH 'ff2\{'LL~ <br />FL '3.s~4l <br /> <br />PARCEl. I.D.~ <br /> <br /><KEc..OfZD <br /> <br />PLH-T <br /> <br />Reok: 'Z-Ci <br /> <br />CHI4 LFoNT <br />\J \4&6 g '"3:, <br /> <br />V I LLI4G:6" <br /> <br />liDRK PROPOSED: V 'N.'cw Gmlst:x:wc~:ioJ[l _AtrJlditiou _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: VSinglc P'armily <br /> <br />__~_:.3:H p <br /> <br />_!II 0 r Vni 1:s <br /> <br />_!'III! <br /> <br />_C01Tl1li1crci.a1 <br /> <br />_Indus t. <br /> <br />c' <br />_"WIQ. <br /> <br />Po.nl <br /> <br />Other <br /> <br />_Rcst;:mran~: &. Uealt:b Dep.alrltlC!lClllt ,i\pprova.l <br /> <br />"3'( (, f I( <br />BUILDING SIZE: rr: 8 X 3qq <br /> <br />1'103 <br /> <br />Square Peet:, <br /> <br />~ ' 0 (, 14. .EY-lVCS Height <br /> <br />RESIDENTIAL: <br />COMl1'iERCIAL : <br /> <br />ATTACH (2) PI.OT PLl\NS ;& (2) SEJrS OF mrrI.DH:G l'LAUCS &: 0) SET ENERGY FORNS. ** <br />ATTACH (3) SETS OI?' mrrJUIHrrilG l":rA~S (;: CO SET EW:::t~GY FOlnIS. ~", <br />Heop), OF CmHRACT nlEQRIT1LRI!1:Jl). <br /> <br />t:P <br /> <br />J'EJRJlflTS RF"QlITEST~'n <br /> <br />V BTJILDING <br /> <br />$ .3 0 ('XX) <br /> <br />'lalmltion of Total GmlsU'ucLion <br /> <br />~ELECTRTCAl, <br />V'UECllANI CAL <br />V PLUMBING <br /> <br />100 <br /> <br />"\Hi.> Service <br /> <br />1./ Flori ~la PO'''T if C{) rp. <br /> <br />_W.R.E.C. <br /> <br />.$ <br /> <br />\ l (X:) <br /> <br />ValtJL3ltion of flech,Hl1 c;,1 T ns tall a t: ion <br /> <br />GAS <br /> <br />ROOPHjJG <br /> <br />SPE:CIAT.TY <br /> <br />TYPE OF CONSTRUCTIm~: 010ck <br />FIl'ITSHED FLOOR ELE'!J'i.TIm~s: I J <br /> <br />_FJC:J\mJe _5 teeJ. <br /> <br />Other <br /> <br />FT. <br /> <br />1:S PIUU!EGT IN FLeOD zo~n'. f\I\LY:: <br /> <br />~ <br /> <br />YES NO <br /> <br />~~~*~~~~~~*~~~*~~**~~~*~~~*~*~*~*~*~~~~~** <br /> <br />RUn,DY.R <br /> <br />~01,G~ <br /> <br />iCOmnrR!\CTO~~ SlF.c:n m1. <br />Q()$$6LL <br /> <br />OOOU' J\IT\iiC <br />Smite GerL or He~i~;L :{' <br />Cilt},.- I..iccn,se Rc~istr:ation ~.l:: <br /> <br />M . 13ROwN <br />C- G::C 03 \ b It <br />~4-3 <br /> <br />Signature <br /> <br />~~~~~*~~~~~~.~~~*~~~~~~~~~~~~~*~~~~~.~'~~~~~~ <br /> <br />ET.ECTRICIAN <br /> <br />~ 0'\. 'bVDu-- <br /> <br />OlJiH[iP'A~Y <br /> <br />Cf< u <:;;, (.= LL <br /> <br />Wi< ~rfI~~~ <br />Ib~ <br /> <br />Si~wtnTe <br /> <br />State CcrL OJ.' Rcgist. ifi <br />Ci~:,y Li.cense RcgistJ~;,ltion .' <br /> <br />~**~~~*~~~~~~~~~~~~~~~~~~~~~~*~~*~~~'~*~~*~ <br /> <br />PLUMBER <br /> <br />~ (}Y\ D~ <br /> <br />CONP"\11'iJ1i' 9 OSSELL <br />StaLe C:crL or I{c~ist. if' <br />Cit)"J" IlJicC'lr15C l1cf~j s t.ration f~~ <br /> <br />hI1, ~ROL.u N. <br />CF c.o3qQQ to <br />tOf <br /> <br />Sign.a, ture <br /> <br />~*~~~~~*~~~~~~~~~~ft~~~**~~*~~~~~*~~~~~~~~* <br /> <br />NEcrr"~'TC.J\T. <br /> <br />O!Jtur,i'lilll <br /> <br />Q USS6LL <br /> <br />1'V1, ~JZOW/'( <br />c..)4 c...o4-/2- 54- <br />''11 <br /> <br />Signature <br /> <br />~ M.3~ <br /> <br />Sta!~~ Gert~~ orrt~el;l.~_;t~ <'= <br />Ci~:}1 Licen,~.;e ReEi!J: t'r,a Lion <br /> <br />~~~~~~~~~~~~~~~~~~~~~~*~~~~~~~~~~~~~~~~~~~ <br /> <br />OTIrF.:R <br /> <br />OOft1UP .t\~{Y <br /> <br />State Cert. or ite~isi~~ * <br />C:;ifC)VJLiccnse Jtcr;j1";C1Ca[~iorl ~~ <br /> <br />Signature <br /> <br />~~~~*~~*~~~~~~~~*~~~*~~~**~*~*~~~~~~~~~~*~ <br /> <br />APPI.ICAT;tON,'PI'HO\'EP fir ~l2M-"~ ~~A ~r <br /> <br />PE1UUTOFFTCF:H. <br />