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<br />APPLICANT <br /> <br /> <br /> <br />APPLZCATXON FOR PERKZT <br />CZTY OP ~ZLLS <br />BUILDING DBPARTMENT <br /> <br />. ;iJ~' <br /> <br />:' <br /> <br />L <br /> <br />ADDRESS <br /> <br />. <br /> <br />SC-~ <br />I I 2"$0 <br /> <br />.' <br /> <br />:"l<. <br /> <br />~- <br /> <br />01 <br /> <br />BLOCJC <br />o <br /> <br />'.'~ ' <br /> <br />LOT S IZg X;~ <br />~tl( <br />SUBDIVISION <br />. <br /> <br />PARCEL 1. D. 4t <br />-- <br /> <br />V(P - V \ <br /> <br />00 ~cC) <br /> <br />O\3C) <br /> <br />WORK PROPOSED:____New Construction ----Addition ~lteration, ~epair <br /> <br />____Sign/Temp. <br /> <br />____S ign <br /> <br />i: <br />-Hove <br /> <br />PROPOSED USE: ____Single Family <br /> <br />.-Ji/' <br /> <br />_t of Uni tee, <br /> <br />____Commercial <br /> <br />~lnd.u.-tl i ,...;,-o...o,Swim . Poo 1. <br /> <br />_Restaurant & Health'DepartaeatApproval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t I <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS << (1) SET ENER <br />'Cot-mtRcIAL : ' ATTACH (3) SETS- Of'..BUILDJ:NG !LA>>S._i_.Ul..SET. .2tllllGY,f~. *~ <br />**COpy OF CONTRACT REQUIRED. . .' ",< <br /> <br />'1'1'"'- ... <br /> <br />PF.mfJTS RROURSTgp <br /> <br />(~ . <br /> <br />.-;- ,', <br /> <br />____BUILDING. <br />~ELECTRICAL <br /> <br />$ <br /> <br />1)/70.~ <br /> <br />r..'~ , r:" ';', + . <br /> <br />Valuation of .Total Construction <br />i . ~ <br />... .~_... ... ... 'L' <br /> <br />AMP Service <br /> <br />Florida Power Cq~p. <br /> <br />GAS <br /> <br />. -... -.-..- - <br /> <br />.~~~~ tion of,~c~n~~~lL,~ ~t;L~at~(~# <br /> <br />~OOFING\ .'~.E~fALTy' ,. . <br /> <br />_~J;~e _St.e,l ! :q; .'::~Z,(::,~~. Other <br />.~;; ...f; <br /> <br />____MECHANIGAL $ <br /> <br />. <br />____PLUMBING <br /> <br />.'*' - <br /> <br />TYPE OF CONSTRUCTION: <br />. , ' <br /> <br />_81ock <br />\ ,.,' .. <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />.1.. L <br /> <br />I <br />/. <br /> <br />. <br /> <br /> <br />/ <br />"j. <br />) <br />/ <br /> <br />. <br /> <br /> <br /> <br />// <br /> <br /> <br />. <br /> <br />. ',<":1' ... . L'. '\~: '.!f;: <br />*************************************.~.~ <br />. . '. ':'> ; I'" .'. ..~ 1 I <br />, '.. ( cpN'I'RACTOR ~2QTION <br />. . ,,' COIDpany , (;0; <br />State Cert:1or'Resis' ,..F <br />. . . ... c:tty ~ice~c;e R~g;.~ . .w.t'.'ion .4t <br />**************...*.*****~********* ******* <br />. ~:.~ .-,"'.~:::')r_~,~~F: ' ~:. .(":.~ :~.:~:L_ ~' t.~'~:' III- ..~. <br />.' .~ <br /> <br />nUl~DER <br /> <br />Sigpature. <br /> <br />::::~,:: AN <br /> <br />': CQllpany <br />,. .' "",,~,,~~~..~,tt" or'~' ~: 0',' <br />:, ~~y.'L1cAnJieRe ,tlr~ <br />*************~~'-'"r.,!*,*'~~*~*r*~~ \~u ~ .~" <br /> <br />i,,(l', <br /> <br />PLllM13F.;R <br /> <br />Signat\1-r~ <br /> <br />. MECHANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />. :-;l. <br />