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<br />1~1~:~S~---_.- Qi!;Z;~Ftt-/~ <br /> <br /><.R :::YY"I+\. to <br />s,e SA- \N - Zr~\'UrLhl \\s ./ <br />CA~-\\<'~ ~__ lZ_~ - <br /> <br />LEGAL DESCRIPTION: LOT(S) ~~ BLOCK SUBDIVISION \ \"')(.i)~LA)OO 0 <br /> <br />PARCEL I.D.' /0 - ~ Co :~ ")./- Ol';)..() - 00000 -O~(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OWNER'S N~UIN <br />OWNER'S ADDRESS -313~ S <br />JOB ADDRESS '3140~-- <br /> <br />PHONE 75,2 - 08d.- s;- <br /> <br />WORK PROPOSED:.Dew Construction --.Addition ---..Alteration ~epair _Install <br /> _Sign ----1Iove ->>ellolish <br />PROPOSED USE: ~ingle Faaily ----111 F _' of Units ---1l/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />~estaurant & Health Deparblent Approval <br /> <br />DESCRIPTION OF WORK: ~~ '- 'f="~ ~~- <br />, I(-~ ( <br />BUILDING SIZE: ~, f6d- '6 Square Feet, 8 Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />V BUILDING <br /> <br />$ 53J 8m " <br />~Ob <br />$ ~4bO <br /> <br />Valuation of Total Construction <br /> <br />V ELECTRICAL <br />/KECHANiCAL <br />\/PLUMBING <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />~W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS ROOFING <br />TYPE OF CONSTRUCTION: ~lock /'Fraae _Steel <br />FINISHED FLOOR ELEVATIONS: 85 FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />*.*******.*.*.*~*.*.**...*.*...*..*.**..*. <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER . COMPANY ~y ())A~ COI\J.shzl^C~ b,.) 4 'J:t\J e <br />~~ State Cert. or Regist. t ~e,e-03511 <br />Signat e "--' c..-- ,. City License Registration' J... '-( <br />*.*........**..*..*.*.**.......*******.*. <br /> <br />v <br /> <br />ELECTRICIAN <br /> <br />SianAture ~ ~~ <br /> <br />COMPANY '1'r\OJ...~~ ~d=iU...2- <br />State Cert. or Regist, f E. R - C>61344Q <br />City License Registration # l~ \ l q 7 <br />.....*****.*......*........**......*..*... <br /> <br />~ <br /> <br />fLmUlEB 6! COMPANY '----B ~ h) Lc....e,.6 <br />A / / State Cert. or Regist. f F - bO(,~{,S~ <br />Signature ~-L ~ L:st:-c~ City License Registration f'" BB{ 0 <br />~ ......*............*........**....*.****.. <br /> <br />v <br /> <br />MECHANICAL '"") COMPANY ~o..~ G-~ <br />'" ~- \~. 0 State Cert. or Regist. , & <br />Signature ~ ...L./ .~ City License Registration * <br /> <br />O~THER~.""""."".":~~=.~~~ <br /> <br />. .' State Cert. Regist.' R~ - 0 t::>&l <.eqf) <br />Si -- or ~ "- City License Registration t 5F"J <br />**.*.****.*.......*.**.**.**..*..******.. <br /> <br /> <br />v <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />Cc <br />