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<br />
<br />~t'ilii;:~~O$EI) us' ._Slnsle ~Family~". "LM/F
<br />'r~'} f ~,J 1..11 \11 ,'tJ i'" ~ .
<br />
<br />J~_j~' of Units "
<br />
<br />!;!:<~!';!"'l.~'H
<br />
<br />_Commercial
<br />
<br />_Indust.
<br />
<br />_Swim. Pool
<br />
<br />Other
<br />
<br />_Restaurant & Health Department Approval
<br />
<br />BUILDING SIZE:
<br />
<br />x
<br />
<br />Square Feet,
<br />
<br />Height
<br />
<br />RESIDENTIAL:
<br />COMMERCIAL :
<br />
<br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
<br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. *,,.
<br />**COPY OF CONTRACT REQUIRED.
<br />
<br />PERMITS REOUESTED
<br />
<br />.LBUILDING
<br />~ELECTRICAL
<br />~MECHANICAL
<br />LPLUMBING
<br />
<br />$
<br />
<br />Valuation of Total Construction
<br />
<br />AMP Service Florida Power Corp.
<br />
<br />_W.R.E.C.
<br />
<br />$
<br />
<br />Valuation of Mechanical Installation
<br />
<br />GAS
<br />
<br />ROOFING
<br />
<br />SPECIALTY
<br />
<br />TYPE OF CONSTRUCTION: ~Block
<br />
<br />_Frame _Steel
<br />
<br />Other
<br />
<br />FINISHED FLOOR ELEVATIONS: FT.
<br />
<br />******************************************
<br />
<br />
<br />w,
<br />
<br />CONTRACTOR SF~
<br />Company y T}vpJoprrel1.i Co') In(.
<br />State Cert. or Regist. j~ ~ C!.O{Oqo..3
<br />City License Registration # / r
<br />******************************************
<br />
<br />Signat
<br />
<br />:T~ Company 0\Q(~OJ\ {:;\ec+(iC.~~
<br />: "~ s~ate ?ert. 0 R~gist.. ~~ O::J05j~ "E}
<br />____~~ ~ C1ty L1cense Reg1straf10n # -~
<br />* * * ********************************
<br />
<br />Pl.UMBER c:mpany 'Ba.LlOrcA QLuxnt!\ ~ ,\ elL .
<br />c=::>r\\ rn State Cert.,Jor Regist. 4t c..Fc..o<<1:l.<\~
<br />S ignature ~~. , "^ 0"" "-"-~ Ci ty License Registration il 9 I
<br />********** *****************************
<br />
<br />r- I
<br />MECHANICAL ~ Company}. D Y1 f\~ 5
<br />. . OJ. fl. ~ State Cert. or Regist. ~~
<br />Signature ~...~ ~ ~? ..,Y'/ . City License Registration il
<br />. *** **************************************
<br />
<br />. ~
<br />
<br />~
<br />
<br />#"3-
<br />
<br />Signature
<br />
<br />Company
<br />State Cert. or Regist. #
<br />City License Registration #
<br />
<br />OTHER
<br />
<br />******************************************
<br />
<br />PERMIT OFFICER.
<br />
<br />APPLICATION APPROVED BY
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