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<br />APPI.1C":'.(LB~llg. 6'i. nr !hF,J:}(HIT <br />CI.'!"'J (lJ.l' . ,...::;.m'1.~.tiTLLS <br />BmIJ)JLi,~~ Di1PAR1"HEOOT <br /> <br />OWNER'S lWfE F,.ede.,..,'(!J~. ~ Ro:seM~r~__A Ite." PIIONE 7 ~3- ~q C9 4 <br />OWNER'S ADDRESS 3Qtp3.;l SUn1.lO-IJ eLf 1)r. ..,L.ZephLJ rh,." S) I=L 33Sc.Jo <br />JOB ADDRESS ~3/9 :Sdver Oc..I~S l:X..' Z eptlLl rhl'''~ J FL <br />PttftSE. <br />LEGAL DESCRIPTION: LOT(S) I /I Bf~81CJ~SUBDIVISIONl .s '" u ~,.. 0 a.. Ie. S <br />PARCEL I. D.# O'3-.=tlo -.:} , - C , .;t D - 00 0 0 0 - " , 0 <br /> <br />WORK PROPOSED: V Nlev Construction _Addition _Alteration _Repair _Install <br /> _Sign _l!Iove _Dea>lish <br />PROPOSED USE: V Single Fallily _H/F _, of UJnits _H/H <br /> _~rcial _Indust. _Swia. Pool Other <br /> _Restaurant &: Hea1t:h Deparo.ent Approval <br /> h;).. X 5'1 30~~ .;) 0 7)... I <br />BUILDING SIZE: . Square Feet. Height <br /> <br />RESIDENTIAL : <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOT PI..MilS &: (2) SEIS OF BUlLDDiG PLUS &: (1) SET ENERGY FORKS. u <br />ATTACH (3) SETS OF BUILDDIG PI..MilS &: (1) SET ENlERGY FORKS.** <br />**COPY OF CONI'RACf REQUftIlD. <br /> <br />PERlIIITS REQUESTED <br /> <br />~BUILDING <br />~ELECTRICAL <br />~HECIIMilCAL <br />V PLUMBING <br /> <br />$ <br /> <br />Valuation of Tot:al Construction <br /> <br />.;) 00 AKP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VaJ..uatioll of Mechanical Installation <br /> <br />GAS <br /> <br />v <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: V Block. __.Fraae __Steel <br />FII!ifISHED FLOOR ELEVATIONS: C/o FI'. <br /> <br />Ot:her <br /> <br />:IS PRO.JE:CT IN FLOOD ZONE AREA? <br /> <br />V" <br /> <br />YES NO <br /> <br />*******~*****~***.************************ <br /> <br />COIBJTRACYOR SECTION <br /> <br />BUIIDER cmwAMY J m J I f}C!.. . ~. <br />Stat'" Cert. or Regist. 4# RI3 0 0 S~ (,8'1 <br />Signature ~ /' ~ ~-' City ~~icense Registration 4# 37% <br />***********"'r*******-&-**"'.*-&-*-&-**********-&--&-*-&-* <br /> <br />ELECTRI~ 4tl:i COIIPAIiY !-nAlIJ~ 11[/ Ct/Ctr.(c / la' . <br />. .. State '~:;erL or RegisL 4# PI2 P'1) (0 ?ItCJ <br />Sismatu~ ~ t . C"Ol.ty ;,icense Registration I ~Sb <br />. **-&-*-&-**-&--&-*****~-&-~~"*vw~t*-&-*** *****-&-**-&-*-&- <br /> <br />v <br /> <br />PLmtBER <br />Signature ~~t-l ~~.d~ <br /> <br />~M:' <br /> <br />State .;ert:. or Regist. , <br />Ci~" License Registration <br />t*-&--&-*****-&-i':-i): .~**t-&-***'i"dl"?:. );'IJ::f:**-&-*-&--&-*-&-t*-&--&-*-&--&-* <br /> <br /> <br />Signature <br /> <br />.~~o,~~ <br /> <br />~P&\ll Gene Cle men+- Ale <br /> <br />St:ate ~("rt. or RegisL 4# CACOLf80'7JJ.. <br />City '!.:lcense Registration' 132 <br />*'IJ:-&--&-*-&--&-t-&--&-t*>l -&-,"''il:..:c'. ,";.;';~:.~ '.~. .'-;" :-&-*~-&--&--&--&-**-&--&-t-&--&- <br /> <br />~ <br /> <br />KEC'.IIAHICAL <br /> <br />OTHER <br /> <br />1."1>>IP1WlY. _ ___ <br />Stal:e Ce~t. or Regist. 4# <br />(;H:y License': J~egistration , <br />-&-**i!:-&--&--&-*-&-**",**':lc"';.~~-s.. .<:-&-"',..< ~-&-i':*****-&--&-*-&-**-&-t'IJ:t* <br /> <br />Signat':1e <br /> <br />APPLICATION AP~OVE'D. BY <br /> <br />1111"''1- ~()/)AnJ <br /> <br />PERKIT OFFICER. <br />