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<br />Al'lILlCA'i'lON FOR l'EWI1'l' <br />CITY OF Z~Pll'iRIl1 LLS <br />llUILDING OEl'AHTHENT <br /> <br />I!-t:f /f L14 /Jj , <br />AnDRESS 3?5tfS PIJLf>} t1-ROtlE. j)R. <br />GOLf) I\CyS t1\/H S/?LES <br />, <br /> <br />.Jon LOCATIoNlPr:;( ?-...?RtJ/O }"JlutAJDA J..ooP <br /> <br />APl'l.1CANT <br /> <br />PHONE 7R'~ -dl-/b <br /> <br />OHNER <br /> <br />LOT SIZE Si ' ~ AREA SQ. fT. C?~ <br /> <br />U:G.^1. DESf.RIPTlON: LOT(S) BLOCK SUBDIVISION <br />I'I-db - oJJ- "1hZ) - t)tJOLJP- O~7CJ <br /> <br />I)ARCEL 1.0. II <br /> <br /> ~ _Addition _Alteration <br />HORK PROPOSEO:____New Construction _Repair _Install <br />_Sign/Temp. _Sign _~tove _Demolish <br />rROPOSEll USE: vSingle Family _H/F _I~ of Units _~t / II <br /> _Commercial _lndu6t. _Swim. Pool Othcl' <br /> _Restaurant & Health Department Approval <br />11111 un NG SIZE; JJ'x?~1 ??.2. SCJU8 t'e Fee t I 9 Tt' tY . I1ci~hl <br />, <br /> <br />RESIDENTIAL: ATTACH (2) Pl.OT PLANS & (2) SETS Of lllllUHNG Pl.ANS & (1) SET ENEHGY FOHtlS." <br />comlEKClAI.: ATTACH 0) SETS Ol~ 11UlI.DlNG I'I.ANS & (1) St::'1' ENl::HGY fO){t1S." <br />'~COl'Y OF CONTRACT REQUIREO. <br /> <br />r~RMITS REQUESTED <br /> <br />V;UILllING <br /> <br />$ <br /> <br />7CJLf7 PC? <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />ANP Set'vice <br /> <br />Florida Power Corp. <br /> <br />_\l.R.E,C. <br /> <br />"_MECIlANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PI.UHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />" <br />T'i PI:: Of' CONSTRUCTION: _B lock <br /> <br />_Frame _Steel <br /> <br />Other' <br /> <br />\"INISIIED fLOOR EI.EVATIONS: FT. <br /> <br />, . <br />............*...**..........*.......**...* <br /> <br />Slgnuture <br /> <br />Ifc.c If;.. fA frl . <br />/2I!k'-L~ <br /> <br />CONTRACTOR SEG.TliHi L1 .E 4L J ~ ...,. , . <br />COlllpuny r7C- /7, ~ "1 <br />Stafe Cert. or Regist. tI CA2L.O .:ll/bP'O <br />City License Registration II /.t./!) <br />*..*...*......*......*.~*...*.*******..**. <br /> <br />.\l\.!.1LUfR <br /> <br />~LECTRTCIAN <br /> <br />Company <br />State Cert. Or Regist. # <br />City License Registration" <br />*.*.*....*.**.**......................*... <br /> <br />SiUlli\t tl re <br /> <br />tl.IJHfifR <br />~~~nature <br /> <br />Company <br />State Cert. o' Regist. # <br />City License Pegi&trution U <br />..............*.*..........*..*........... <br /> <br />W~GlWilCA 1. <br /> <br />Company <br />Slutc Ce~t. or ReBl~t. U <br />City License Heaistnltlul\ /1 <br />...........*....*....*....***...~*..*....* <br /> <br />Signature <br /> <br />UIIIER <br /> <br />Company <br />State Cel't. or Regist. # <br />City License Registration II <br /> <br />Slgriature <br /> <br />APPpCATION APPROVED BY <br /> <br /> <br />PER~rlT OffICEH. <br /> <br />" <br /> <br />\ . .... ,.-....,.., , <br /> <br />tlWOl'ltt .l. c ~;c . <br />~t"'~'t <br />fttt ,$~~ i <br />'f3(\\~ ~~~.~~; . <br /> <br />'~"""".~'th"'" <br /> <br />~'l <br /> <br />u <br />