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<br />~,M~;'L:'~;ITOIlll FOk :?'.J:.'\iifrT <br />CII'Y: l;,..'" ZE 1I'0lJIiIl1\.;5: <br />BlIi::;[j,:.i)n"'l:~ DEP~i' <br /> <br /><<MiER'S lWIE $/!tX/ZI~C <br />OWIiER'S ADDRlrSS_ ~ tJ S I <br /> <br />"2LE <br /> <br />PIIOD k 7%'2.. 2- Z '7 & <br />.... <br /> <br />P~~_5r /-.-C!./JL~.5ILJE /YJIJ .t7<., zC:~I-I'I/ttl/ur,. R-I1- <br /> <br />JOB ADDRlrSS <br /> <br />.;S~ <br /> <br />LEGAL DESCRIPTIOIM: IDI'(S) <br /> <br />__~SUBDIVISION OA/<'SI.LJe /J1tJ, //c.... <br /> <br />PARCEL I.D.' <br /> <br />WRK PROPOSED:~Jllev Construction .-J'ddition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_lIove <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: ~ Singl.e Fam.1y <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />~K/H <br /> <br />_~rcia1 <br /> <br />_Indost. <br /> <br />_Swill. P001 <br /> <br />Ot:her <br /> <br /><.' ...... <br /> <br />BUILDIlfG SIZE: <br /> <br />___estaurant 6: Hea1th ))eparment Approva1 <br />'2.8 r xK, /:3 7;2.. ~e Feet, <br /> <br />N/R <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cotmERCIAL : <br /> <br />AlTACO: (2) PIDJ' PI.AIlIIS 6: (2) SEI'S OF BUIIJ)IJIG PLUS &: (1) SET EllERGY FORtIS. ** <br />ATI'ACB (3) SEn" OF BUIIJ)DIG PLUS 6: (1) SET ENERGY FORtIS. ** <br />**oopy OF COtrrKACf KJJQUIRED. <br /> <br />'Mf.RKTTS REQuesTED <br /> <br />.'~"~~II~r'6lf"~sbr'1 <br /> <br />VBUILDIliG <br />,./ ELECTRICAL <br />V KECllAlUCAL <br />/' PLUKBIWG <br /> <br />$ 025; ~tJo Va1uatiOl...!. of Total Construction <br />/SO AtIP Service _~ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />/ ';;"0 D <br /> <br />.ya111'ation ;:I Kecbanica1 Installation <br /> <br />- KOOFDiG <br /> <br />- <br /> <br />SPECIALTY <br /> <br />GAS <br /> <br />TYPE OF roliSTRUCTIOII: _B1ock _ _~ _Stee1 <br /> <br />/J/. ,J./ <br /> <br />Ot:her <br /> <br />FTIiISHED FLOOR ELEVATImiS: <br /> <br />FT. <br /> <br />IS PRO.JEC1t' DI FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />**********************,,,*******"'*********** <br /> <br />awrRACIOR SECl'IOR <br /> <br />BIJTT.DF.R ~ W!lPANY )./-/L ~ <br />,AI ~ . St:ate Cert. or Regist. I <br />Signature -,;~ ~ City License Registration I 85f> <br />****************************************** <br /> <br />ELECTRICIAN __ OO!IPAIlIY C7~' #-- ~/UJJ'11,J Z c.<:::::7C-r <br />~ Stare Cert:. or Regist.' f, <br />SiPIIAture City License Registration , 38 <br />****************~******************* <br /> <br />~1goa-cure <br /> <br />~~ <br /> <br />, <br /> <br />W!lPAIiY__ Jt/c/stt~ ~/h;n.J <br />State Cert. or Regist. ' I <br />Ci.q ...~~--~!:e ~eg!.f;1:~",.j~ t __." <br /> <br />/ tl t" <br /> <br />PLOItBER <br /> <br />*****~************~*********************** . <br /> <br />KECBAlIICAL h"'~' OO!IPAfi /8/1 /--I;12..r d-o'pr}Y~ ~ ~ - ~. <br />~ Stare Cert:. or Regist. f <br />Sigoature~.Lih "1w. ~ City License Registration , "7l? <br />/ *********ii'*'lH:.......L***..........:i'*******************. <br /> <br />O"I"IIKR CO!IPMIY <br />State Cert. or Regist. f <br />Signature City l.icense RegistratiOn , <br />*.....***-lI:***,O~.'""**.......***... ..******************* <br /> <br />APPLICATION APPROVED BY PERIIIT OFFICER. <br />