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<br />Ilf;; . <br /> <br />.1 'it';~"'.'" <br /> <br />\ , <br />Al.1PL'ICAttOR FOR PRRH'IT <br />an' Of' ~Jmn'RUILts <br />IHlfltD'INO DIU>i\R1ltll!N1' <br /> <br />OW'NElP S ADDRESS <br /> <br />S tl1. ( I\-) <br />30;;.. 3;> g-1'11 sl <br />3c;~3-~ grrJ ~T <br /> <br />1'110~F.. ' <br /> <br />7~3 r 7<1 '7;-- <br /> <br />.' OWNER'S NAME <br /> <br />. JOB ADDRRSS <br /> <br />LEGAl. DESCRIPTIoN: l.OI'(S) <br />PAACKt 1.11.# <br />"'URIC PROPOSeD:_lr"ew Construction ---Addition -X-utcration ~ep3h: ~Xnst311 <br /> <br />n~sunDIVISIOR- <br /> <br />._Sien <br /> <br />_Hove <br /> <br />_Dc.-olish <br /> <br />PROPOSlID {{:IE: Sinele Fuily <br /> <br />_---....Jf/F <br /> <br />_' of Units , <br /> <br />--.Jf/u <br /> <br />t <br />:d- <br />,: <br /> <br />"_CoawcX'cbl <br /> <br />----.lndust. _Swi.. Pool . , <br /> <br />Other <br /> <br />Restau~al.l.t & lIc.alth De(Xl.1:'t~nt Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESlDENTL\L,: <br />COImRRCIAt : <br /> <br />ATrACU (2) PLOT l'LMS & (2) Sll:fS OF BUllDINC PI.J\HS & (1) SlIT ENEnGY FOMS..* <br />A'rrACU (3) S!17S Of' BUIlDING PUNS & (1) SET F..Nl!RGY' FORMS... <br />..con OF COH'I'lcAct RllQl!1lJUJD. <br /> <br />J)f.:RKITS RP,OtJP,STP.O <br /> <br />, , <br /> <br />---..nUILDING <br />-ELECTRICAL <br />--1{EClIANlCAT.. <br />---"pLUMBING <br /> <br />$ <br /> <br />Va!ustiOQ of Total Construction <br /> <br />NiP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.t.C. <br /> <br />$ <br /> <br />Valuation of Hecl~nica.l InstallatioQ <br /> <br />~CAS <br /> <br />ROOFING <br /> <br />sPEcwn <br /> <br />TYPE OF CONSTRUCTION: ___Block ---.Fr~ _Steel <br /> <br />o the 1:' <br /> <br />FIIIISrmD nooR El.tV^TIO~~S: <br /> <br />FT. <br /> <br />IS P.RO.1ECT IN FLOOD ZONE AREA? ' <br />, YES <br /> <br />'- <br /> <br />.....e~..~....**....*.*.***......t...*.... <br /> <br />NO <br /> <br />Si.en,3tuX'e <br /> <br />p~::::~~~ IV 17 <br /> <br />State Cert. or Recist. , <br />Ci~ License Recistration , <br />.................:::::::.................~~ <br /> <br /> <br />Stat.e Ccrt. ot' R(!gist. " <br />City Liceo$c Registration , <br />*~.*....~s...*a.tttt.t..tt..t...~t~tt~t.. <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />SiPJl3 t~J~e <br /> <br />. . <br /> <br />" . . <br /> <br />JUf}- <br /> <br />State Cert. or Rcgist~ . <br />City License Registration , <br />.*****..***....t*.**t...ttt..t.t~ttttA~ttt <br /> <br />COltPANY <br /> <br />PLUHnER <br /> <br />,. <br />,f. <br />t; <br /> <br />Sien.ature <br /> <br />HEaTMfICAI4"'" d COHPANY~ SooTH ~?>1., 'cr:J-<..t-f.,~ -4 <br />' Stat~ Cert. 0[' Rceist.' R 11'1 on I S-C 2,. L. <br />Sienature ~ City License ReClstration ; . /I 0 <br />.-- . .......................................... <br /> <br />/l / tA- <br /> <br />St~te Ccrt. oX' R~eist. , <br />City License ReCi$tration , . <br />**...**..*****...a.....~..~.......*......* ' <br /> <br />co:np(~ <br /> <br />~ <br /> <br />Sien,3turo <br /> <br />APPL'ICAnON Al'l),ROV&O Dr <br /> <br />FEHIUT OFPICER. <br />